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My <br />O <br />c• <br />N <br />v <br />N U <br />Q; w <br />4. <br />y � <br />C, <br />i <br />m <br />E N <br />U mr <br />iJ <br />T <br />-Y Q <br />U 'C <br />(1) fJ <br />vl� <br />boundary described with bearings <br />and distances <br />total acreage of the tract and <br />acreage of lots, including and <br />excluding area within rights-of-way <br />control corner <br />proposed lot lines with dimensions <br />Lot & block numbers <br />phasing lines <br />topography at ten foot (10) intervals <br />water bodies, streams, floodway and <br />floodplains <br />stream buffers <br />Location and size of parcels dedicated <br />for public use, recreational use or <br />reserved in common, with purpose noted <br />impervious surface data (if located in <br />water supply watershed) <br />vicinity map showing general location <br />of subdivision with streets and roads <br />identified by State road number and <br />name <br />C. OTHER SUBMITTAL REQUIREMENTS <br />Twenty-five (25) copies of the preliminary plat. <br />0 <br />typical street cross-sections and intersection <br />details including design and width of travelway and <br />shoulders <br />horizontal alignment and general curve data (public <br />roads) <br />centerline radius on all proposed streets <br />permanent features such as buildings, cemeteries, <br />historic landmarks <br />adjoining lot layout names of adjoining property <br />owners. if subdivided, subdivision plat name, plat <br />book & page number, and perimeter lot numbers. <br />Landscaping and buffer requirements <br />township, corporate and extra territorial planning <br />jurisdiction lines which cross the property <br />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 />2. One full size copy of an Orange County Tax map (with,tax parcels involved clearly marked in pencil). <br />3. Where municipal or OWASA sewer is not available, a copy of the Preliminary Plat indicating Health <br />Department soils analysis approval /denial 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- 8-3-d -1 of the Orange County <br />subdivision Regulations). <br />5. Auxiliary documents, in draft form, prepared in accordance with section VI of this Ordinance which assure <br />completion and /or maintenance of improvements required by this Ordinance. Such documents may include, but <br />not be limited to, a private road maintenance agreement, and articles of incorporation and restrictive <br />covenants pertaining to a hcomeowner's association. These documents may be required as necessary as <br />evidence that the ordinance requirements are being met. <br />6. Fee - $350.00 plus $5.00 per lot (1 fee for preliminary and final plat). <br />1, the applicant, hereby certify that the foregoing application ipPcompletrp aqd accurate. <br />FEES: Amount E3 O - 0 0 <br />OWNER'S'STGNATURE <br />217 <br />DATE <br />Date Paid �-� Sa Receipt # C 3 9 13Z_,_ <br />