Form A
PLAN BELIEVED NOT TO REQUIRE APPROVAL
FILING
CHECKLIST
Applications
will not be stamped in at the Town Clerk's office for the Planning Board, until
the Planning Department determines that the following items are included with
the application:
1. Seven
copies of the plan for planning board
2.
Form A filing fee - checks payable
to the Town of
3. One Mylar suitable for recording at the Essex County
Registry of Deeds
4.
Copy of Deed
5. Digital
Data Submission Requirements – completed sign off form by MVPC Attachment 6
6. Application
& Plans for Assessor to Review-Sign-off from Assessor’s Office
IMPROPER OR INCOMPLETE FILINGS
WILL RESULT IN A DELAY IN DECISION, TOWN CLERK WILL SIGN AND STAMP AFTER
PLANNING DEPARTMENT SIGNS OFF.
____________________________
Assessor’s
Office
____________________________
Planning
Department
____________________________
Town
Clerk
Form A
Application for Endorsement of
Plan Believed Not to Require Approval
_________________ Map
________ Lot__________
Date
Street Address______________________________
Applicant’s
Name:
___________________________________________________
Applicant’s Address: ____________________________________________________
Telephone #: ___________________________
Owner of Property:
_______________________________________________________
Owner’s Address:
_______________________________________________________
Plan Entitled: ________________________________________
Dated ______________
Zoning District: ____________________
Amount of Frontage: _________________
Other Permits Required and
Status of Applications: _____________________________
________________________________________________________________________
Waivers Requested:
_______________________________________________________
Does this ANR result in a change of address number for
you or your neighbors?_________
If you are applying under
81L, please be aware that this may result in a change of addresses for everyone
on your street, which will cause them to incur a cost
To the
The undersigned wishes to record the accompanying plan and requests a determination by said Board that approval by it under Subdivision Control Law is not required. The undersigned believes that such approval is not required for the following reasons:
1. The Division of Land shown on the accompanying plan is not a subdivision because every lot shown thereon has the amount of frontage, area and depth required by the Salisbury ZBA ordinance and is on a public way, namely, ______________ or a Private way, namely _______________.
2. The division of land shown on the accompanying plan is not a subdivision for the following
reasons: ___________________________________________________________________ __________________________________________________________________________
3.
The owner’s title to the land is derived under deed
from _______________, dated __________, and recorded in Essex South Registry of
Deeds Book ________ Page ____________
or
____________________________
Signature of Applicant
Received:
____________________
Town Clerk
Attachment 6
The
applicant shall submit two copies of the Form A Plan in a digital format to the
Merrimack Valley Planning Commission.
Before any application for a Form A "Approval Not Required
Plan" is accepted, the below form must be completed by MVPC. Failure to submit form will cause the
application to be incomplete
Municipal Mapping
–Digital Data Submission Requirements
The following requirements
apply to the submission of Form A or subdivision plans as well as for plans and
as-built drawings for infrastructure projects (water/sewer installation or
repair, road work, and other capital improvements).
1.
All plans and specifications must be submitted on electronic media
(3.5” floppy or CD_ROM using an IBM-PC or compatible file format). Acceptable file formats include: AutoCAD
*.dwg, AutoCAD *.dxf, ArcView *.shp, ArcInfo *.E00. The files must be identical to the printed
plan and contain all information included on the written plan. Upon project completion a digital submission
of the “as-built” plan is required for final release of the performance bond associated
with any project.
2.
All digital mapping data must be delivered in the Massachusetts State
Plane Coordinate system with a horizontal datum of NAD83 and vertical datum of
NGVD88. All lot lines and easements
depicted on the electronic submittal will conform to survey accuracy. Where possible all bearings and distances
should be adjusted for true north OR the applicant shall provide a listing of
the number of degrees, minutes, and seconds of deviation between true north and
magnetic north. If necessary data will
be accepted in NAD27 using the aforementioned specifications.
3.
Each feature type must be organized in the CAD or GIS data structure as
a separate layer. For example, there must be separate CAD layers for buildings,
roads, road centerlines, surface water, wetlands, etc. Having all these
features in a single CAD layer or GIS file will not be accepted.
4.
CAD data may be tiled on paper, PDF or other form of digital output as
individual sheets for improved readability, but plans should be derived from a
single master drawing. All data will be
topologically clean, meaning that polygons are closed (no overshoots or
undershoots) and lines connect at nodes. Features that naturally connect such
as driveways to roads must connect seamlessly.
All text in AutoCAD files will appear on top of other features and will
be in separate annotation layer. Features under text should not be erased or
‘broken’ in order to make the text clearer.
5.
Documentation of the data format must be provided with a description of
the CAD layers and list of the types of features placed in each layer.
Submission of multiple files must also include a list of the files and their
purpose.
6.
Attributes or databases that are included in mapping files must have a
definition of the meaning of each field as well as a definition of any values
used in each field. Features that contain an elevation component (z-value) must
have that elevation value within the attribute data.
7.
The data submitted must include
documentation on the method used to gather the data, the name of the person(s)
responsible for preparing the data, contact information, an estimation of the
horizontal and vertical accuracy, and the date of data capture. All media shall be free from any and all
defects and viruses, and labeled as to their contents.
DIGITAL DATE SUBMISSION
SIGN-OFF
Note to applicant: Please allow 10 days for MVPC review and
response.
Applicant:
____________________________________Phone #: ________________
Plan
Engineer: _________________________________Phone#: __________________
Engineer
Project Number: ___________________
1) Date submitted to MVPC?
2) Street address of submitted
plan?
3) Map and lot of submitted
plan if available?
4) Type of lot adjustment (new
lot, subdivision, lot line correction, lot combination, easement, other –
describe)
5) Projection used by
engineering firm (state plane 1927, state plane 1983, or WGS 84)?
6) File name, file format and
version of software (if applicable)?
7) Additional comments or
instructions (if necessary)?
To
be filled out by
8) Presence of
latitude/longitude feature on paper plan (Y/N)?
9) Adjusted for true north or
declination depicted on paper plan (Y/N)?
10) Arcs closed to create parcel
polygons (Y/N)?
11) Are all features independent
(Y/N)?
12) Is there documentation of
each layer (Y/N/Partial)?
13) Has the accuracy been
estimated?
MVPC
has reviewed the digital data submitted and finds it acceptable and complete:
(signature) (date)