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6 <br />control corner <br />proposed Lot lines with dimensions <br />Lot B block numoers <br />DriaS'ns lines <br />c <br />✓ topography at ten foot (10) interva;s <br />0 1^ water bodies, streams, floodway and <br />floodDLains <br />streair buffers <br />U <br />Elocation and size of Darcels dedicated <br />a :'•for puolic use, recreational use or <br />At <br />U ii?i reserved 'n common, with purpose noted <br />impervious surface data (if located in <br />C ro water supoly watershed) <br />G cr, `' `'.:: vicinity map snowing general location <br />of subdivision with streets and roans <br />ioentified by State road numoer and <br />name <br />C. OTHER SUBMITTAL REQUIREMENTS <br />centerline radius on all proposed streets <br />' permanent features such as buildings, cemeteries, <br />historic lanomarks <br />ac'C1ning Lot layout names of aGlCtninC prpper;y <br />Owners. If subdivided, subdivision p :a: name, p:a: <br />:.:< book 8 page numoer, and perimeter Lot numbers. <br />lahgscaDing and buffer reouiremer:� <br />township, corporate and extra- te- ritorial planning <br />jurisdiction lines which cross the property <br />I- location and size of lots of restricted development <br />potential and notation on plat regarding same <br />stormwater detention• and /or retention sites and <br />- " undisturbed areas for infiltration purposes (if <br />Located in water supply watershed) <br />1. Twenty -five (25) copies of the preliminary plat. <br />2. One fuLL sl :e CODy of an Orange County Tax map (with tax parcels involved cLearly marked in pencil). <br />'3. Where municipal or OWASA sever is not available, a copy of the Preliminary Plat indicating Health <br />Department soils analysis approval /aeniaL for each lot shown thereon. <br />4, Where a private road is proposed a written statement by the applicant or his /her authorized representative <br />which sets forth the justification for a private road (see Section IV- 6 -3 -d -1 of the Orange County <br />Subdivision Regu►ations). <br />5. Auxiliary documents, in draft form, prepared in acccroance with Section VI of this Ordinance which assure <br />COmDLetion and /or maintenance of inprovemen:s reauired by this ordinance. Such documents may include, Out <br />not be limited to, a private road maintenance Agreement, and articles of incorporation and restrictive <br />covenants pertaining to a homeowner's association. These cocuments may be required as necessary as <br />evidence That the ordinance requirements are being met. <br />I, the applicant, hereby certify that the foregoing application is complete and accurate. I understand that a <br />5105.03 fee (subdivisions of 1 -5 lots), 5210.00 fee (subdivisions of 6 -9 lots), 5315.00 fen ( suDdivisicns cf 10 -25 <br />Lots) or a $420.03 fee (subdivisions of 26 lots o^ sere) is owe at the time of application. A S5.CO per lot fee is <br />due 2: the time the final plat is presented for recordation. <br />7 <br />LICANT'S SIGuATUF. -c OWNER'S SIGNATURE <br />/J <br />DATE C <br />FEES: <br />Amount ���'" Cate Paid <br />