Form E
APPLICATION
FOR AMENDMENT, MODIFICATION, OR RESCISSION OF APPROVAL OF DEFINITIVE
SUBDIVISION PLAN
FILING
CHECKLIST
The Town Clerk’s office is
unable to accept applications for the Planning Board unless the following items
are included with the application.
1. Application
must be filled out completely and correctly.
(Map and Parcel must be included can be found in the Assessors
Office) Attachment 1
2. Form E
application & review fees. Checks
payable to the Town of
3. Registered
Plan drawn to scale and in Subdivision Control Regulations (7 COPIES)
4. Abutters List
Request form must be completed at the Assessor’s Office ($15-checks payable to
the Town of
5. Treasurer’s
Office signature to insure all Taxes are paid up to date on the property in
question and any applicable betterments are paid in full. Attachment
2
6. Copy of Registered Deed
7. Digital Data Submission Requirements –
completed sign off form by MVPC.
Attachment 3
8. A completed Form E submittal
Checklist. Attachment 4
IMPROPER OR INCOMPLETE FILINGS
WILL RESULT IN A DELAY IN THE HEARING
________________________________
Town Clerk
***Notes to Applicant ***
Applicants shall bear the cost of
advertising the legal notices in the
Board of Health will approve of
Disapprove plans within 45 Days of submission.
Planning Board decision is contingent upon Board of Health
approval. Planning Board has up to 135
Days from submission to make a decision.
All conditions must be met and
required changes made to the plan, then submitted to the Planning Board for
review, before a building permit will be signed.
Attachment 1
FORM E
APPLICATION FOR AMENDMENT, MODIFICATION OR RESCISSION OF APPROVAL OF DEFINITIVE SUBDIVISION PLAN
_________________ Map
________ Lot__________
Applicant’s Name: ___________________________________________________
Applicant’s Address:
____________________________________________________
Telephone # & Fax #: ___________________________
E-mail Address: ________________________________
Owner of Property:
_______________________________________________________
Owner’s Address:
_______________________________________________________
Plan Entitled: ________________________________________
Dated ______________
Zoning District: ____________________
Description of Proposed
Amendment: _________________________________________
________________________________________________________________________
Other Permits Required and
Status of Applications: _____________________________
________________________________________________________________________
Waivers Requested:
______________________________________________________
The undersigned, being the applicant as defined under
Chapter 41, Section 81-L, hereby applies for the approval of said DEFINITIVE
plan by the Salisbury Planning Board
for property located at _________________________________,
1. to install utilities in accordance with the rules and regulations of the Planning Board, the water Department, the Highway Superintendent, the Board of Health, and all general as well as zoning bylaws of Salisbury, as are applicable to the installation of utilities within the limits of ways and streets;
2. to complete and construct the streets or ways shown thereon in accordance with Section 5 of the Rules and Regulations of the Planning Board and the approved DEFINITIVE plan, profiles and cross sections of the same. Said plan, profiles, cross sections and construction specifications are specifically, by reference, incorporated herein and made a part of this application. This application and the covenants and agreements herein shall be binding upon all heirs, executors, administrators, successors, grantees of the whole or part of said land, and assigns of the undersigned; and
3. to complete the aforesaid installations and construction within two years from the date hereof.
____________________________
Signature of Applicant
Received:
____________________
Town Clerk
Attachment 2
DEFINITIVE SUBDIVISION APPLICATION
TAX
AND BETTERMENT PAYMENT CERTIFICATION
Date ____________________
Map
________ Parcel ________
Owner’s Name: __________________________
Property Address: ______________________________,
I, ____________________, certify
that all taxes and applicable betterment’s have been
paid in full for the property
located at Map ________ Parcel ______. The next billing
date is _____________.
Signature:
____________________________
Date:____________________
Treasurer or Treasurer’s
Clerk
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The following requirements
apply to the submission of SANR 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)
Attachment 4
Before any Form E Subdivision application can be filed
at the town clerk's office, the following departments must receive the
specified information and sign below that the information has been
received. Departments have 14 days
within which they may approve, disapprove, or comment on the proposed plan.
Board
of Health
(1
Set of Plans & application)
Received By: ___________________Date:
___________
Fire
Department
(1 Set of Plans & application) Received By: ___________________Date: ___________
Department
of Public Works
(3
Sets of Plans & application)
Received By: __________________Date: ___________
Building
Department
(1
Set of Plans & application)
Received By: ___________________Date:
___________
Conservation
Commission
(1
Set of Plans & application)
Received By: ___________________Date:
__________
Police
Department
(1
Set of Plans & application)
Received By: ___________________Date:
__________
Assessor's
Department
(1
Set of Plans & application) Received
By: ___________________Date: ___________
Planning
Department
(1
Set of Plans & application) Received
By: ___________________Date: ___________