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CLARK COUNTY COMMUNITY DEVELOPMENT (Clark County Board of Commission)

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BROWSE CLARK COUNTY BOARD OF COMMISSION (OH) FORMS

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Page 1 of 6
CLARK COUNTY COMMUNITY DEVELOPMENT
3130 E. Main Street, Suite 1A; Springfield, OH 45505
Phone: 937-521-2160 Fax: 937-328-2621 www.clarkcountyohio.gov/community development
SUBDIVISION APPLICATION
Please type or print all information; use additional sheets as necessary
3/2012
TYPE OF SUBMISSION: ____ Preliminary; complete Pages 1 & 2 and Part A
____ Combined Preliminary & Final; complete Pages 1 thru 6
____ Final; complete Pages 1 & 2 and Part B
NAME OF SUBDIVISION: ____________________________________________________________
LOCATION: ________________________________________________________________________
TOWNSHIP: ______________________________
CURRENT STATUS OF THE PROPERTY TO BE SUBDIVIDED:
Owner(s): __________________________________________ Phone: _____ / _____ / _________
Address: __________________________________________ Email: _______________________
City / State / Zip: _____________________________________________________________________
Permanent Parcel No.: ________________________________ Acreage: ____________
Zoning District: _______________
DEVELOPER / CONTACT / SURVEYOR / ENGINEER:
Developer: _________________________________________ Phone: _____ / _____ / _________
Address: _________________________________________ Email: _______________________
City / State / Zip: _____________________________________________________________________
Contact Person: _____________________________________ Phone: _____ / _____ / _________
Address: ___________________________________________ Email: _______________________
City / State / Zip: _____________________________________________________________________
Surveyor: __________________________________________ Phone: _____ / _____ / _________
Address: ___________________________________________ Email: _______________________
City / State / Zip: _____________________________________________________________________
Engineer: __________________________________________ Phone: _____ / _____ / _________
Address: ___________________________________________ Email: _______________________
City / State / Zip: _____________________________________________________________________
UTILITIES:
Public Sewer: ___ No ___ Yes, Provider: __________________________________________________
Public Water: ___ No ___ Yes, Provider: __________________________________________________
Other (on a separate sheet): List the names and addresses [where new developments would be reviewed] of other
utility companies which serve or will serve this plat, or which have easements on this property or immediately adjacent
thereto (i.e., electric, gas, telephone, pipelines, etc.).
Page 2 of 6
SUBDIVISION PLAN:
Type of Development:
____ Single-Family Residential ____ Multi-Family Residential
____ Planned Unit Development ____ Condominium Development
____ Commercial Development ____ Industrial Development
____ Other Development: _______________________________________________________
Area in Lots: ________ acres Open Space: ________ acres
Area in ROW: ________ acres Area in Other: ________ acres
Specify: _______________________________
Total Area: ________ acres
Number of Lots: ________ Minimum Lot Size: ________ acres
I/We being the OWNER(S) and DEVELOPER(S) of the property noted in this application, do hereby
certify that it is my/our desire to have this land considered for platting under the Clark County
Subdivision Regulations and that I/We will comply with the requirements of said regulations.
In addition, should this be a submission of a PRELIMINARY SUBDIVISION only, I/We the undersigned
hereby request that said PRELIMINARY submission is being submitted in accordance with the
voluntary two-step review procedure noted in the Clark County Subdivision Regulations. In order to
permit this voluntary two-step review, the undersigned hereby agree(s) to the allowance of a thirty (30)
day review of the herein submitted PRELIMINARY SUBDIVISION in addition to a thirty (30) day review
period for the FINAL SUBDIVISION as provided by Section 711.10 of the Ohio Revised Code.
___________________________________ ___________________________________
Signature of OWNER(S), Required
___________________________________ ___________________________________
Signature of DEVELOPER(S)
I/We being the SURVEYOR AND ENGINEER for this SUBDIVISION do hereby certify that the
information contained in this application and contained in the additional material required for
submission of a SUBDIVISION is accurate, true, and correct to the best of my/our knowledge.
___________________________________ ___________________________________
Signature of SURVEYOR; P.S. # Signature of ENGINEER; P.E. #
Page 3 of 6
SUBDIVISION SUBMISSION CHECKLIST
(Must be completed when filing Preliminary, Combined, or Final Subdivision)
The subdivider of a major subdivision may choose between two review procedures. The subdivider may elect
in writing to follow a two-step review procedure by submitting first a preliminary plan and then a final plat for
review. If the subdivider does not elect to follow the two-step review procedure, he/she must submit for review
a final plat containing all of the information required in both plats under the two-step procedure.
Plats submitted and approved under these regulations must have a continuous plat boundary. Plats which
have separated parts or lots, or plats having a distance separating lots of greater than two hundred (200) feet
shall be submitted and approved as separate plats requiring separate applications and approvals.
Items and information which are submitted must be complete. The Planning Commission or its staff may
refuse to accept for processing any item submitted which lack major elements of a submission or which
circumvents, or attempts to circumvent, the intent of these regulations and such items will be considered void.
PART A
PRELIMINARY PLAN CHECKLIST
(check each item included; if an item is not checked, note the reason why)
___ 1. Proposed title of the subdivision. Said title shall not duplicate the name of any other subdivision already in use.
___ 2. Location by section, town, range, township, county, state, and corporation boundary if involved, and/or V.M.S.
identification number
___ 3. Names and addresses of the subdivider, owner, and surveyor.
___ 4. A north point and a scale of not more than one hundred (100) feet to the inch.
___ 5. Any portion of land being subdivided within a major drainage area shall be shown as it pertains to the particular area.
___ 6. The location of existing rights-of-way, easements, and physical features such as drainage channels, wooded areas, poles
and power lines, fences, roads, railroads and buildings within the tract.
___ 7. The location of existing rights-of-way and easements and the approximate location of buildings on lots or parcels, wooded
and power lines for a distance of two hundred (200) feet from all sides of the land in question. Existing public streets shall
be identified.
___ 8. The location and widths of proposed easements and rights-of-way.
___ 9. Names and addresses of owners of property adjoining the proposed subdivision.
___ 10. Accurate delineation of all zoning districts and notation of zoning setbacks in effect. If any zoning changes are
contemplated by the subdivider, the proposed zoning shall be outlined.
___ 11. Existing contours with intervals of not more than five (5) feet where the slope is greater than ten (10) percent, and not
more than two (2) feet where the slope is less than ten (10) percent. Elevations are to be based on sea level datum.
___ 12. The location of the bench mark used to determine the contour lines.
___ 13. The location of existing lot lines adjacent to the land to be subdivided, and the location with approximate dimensions of
proposed lot lines.
___ 14. A system of lot numbering purely for identification and may be changed at the time of recording.
___ 15. The location and size of existing sanitary and storm sewers, water mains, culverts and other underground structures
within the tract and adjacent thereto.
___ 16. The location of the setback lines on all proposed new lots.
___ 17. The boundary of the subdivision indicated by a heavy line and the approximate acreage.
___ 18. Date.
___ 19. Incorporate proposed street names on the map.
___ 20. A dashed line too hundred (200) feet from and around the perimeter of the plat boundary.
Page 4 of 6
Additional Items:
___ 21. A copy or tracing of the current tax map showing the permanent parcel(s), including permanent parcel numbers, with the
plat boundary accurately delineated thereon and the general location of the streets and each lot of the submitted plat.
Said drawing shall also indicate the surrounding permanent parcel lines and permanent parcel numbers for five hundred
(500) feet in all directions from the plat boundary.
___ 22. A separate sheet indicating any exceptions and/or variances to the subdivision design standards or regulations and
stating the reason(s) for said exception and/or variance.
___ 23. A copy of the part of a U.S.G.S. map, preferably an 8½“ by 11” sheet, indicating the boundary of the plat and showing
the water sheds and their boundaries which affect said plat. The plat shall be located as close to the center of the map
as possible.
Other Items:
___ 24. Application – must be complete with appropriate signatures.
___ 25. Protective Covenants.
___ 26. Vicinity sketch on an 8½“ by 11” sheet.
___ 27. Drainage Plan – complete with the watershed areas mapped, along with runoff calculations for each location where
drainage flow is expected to cross proposed roadways. Contact the Clark County Engineer’s Office with any questions.
Preliminary Plans:
___ 28. Application – 4 copies.
___ 29. Plat Map – 15 copies *.
___ 30. Construction Drawings – 6 copies *. Contact the Clark County Engineer’s Office with any questions.
___ 31. Plat Covenants – 7 copies *.
* Additional copies needed when OEPA, ODOT OR ODNR involved. Contact Clark County Community Development
IF ANY OF THE ABOVE ITEMS ARE NOT CHECKED, INDICATE
ON A SEPARATE SHEET THE ITEM NUMBER AND REASON
PART B
FINAL PLAN CHECKLIST
(check each item included; if an item is not checked, note the reason why)
It is recommended that engineering plans and data be submitted to the office of the Clark County Engineer ten (10)
working days prior to the submission of the Final Plans to avoid possible delays caused by the filing of plans which do not
meet the requirements of the County Engineer. Items or information which are submitted must be complete. The
Planning Commission, or its staff, may refuse to accept for processing any item submitted which lack major elements of a
submission or which circumvents, or attempts to circumvent, the intent of these regulations and such items will be
considered void.
The final recorded map of the proposed subdivision shall conform to the approved preliminary plan and be drawn to a
scale of 50, 60, 80 or 100 feet per inch. The overall final plan shall be 18 inches by 24 inches.
___ 1. The name of the subdivision and the location by section, town, range, township, county and state and/or V.M.S.
identification number.
___ 2. Legal description.
___ 3. A bar scale, a north point, and the acreage.
___ 4. An acknowledgment by the owner(s) of the adoption of the plat, and dedication of streets and other public areas.
___ 5. A certification of a Notary Public.
Page 5 of 6
___ 6. Certification by a surveyor, registered in the State of Ohio, that the plan represents a survey made by him/her and all
monuments shown on the map actually exist.
___ 7. A statement of approval by the County Health Commissioner.
___ 8. A statement of approval by the County Planning Commission and statement of acceptance by the County Commission. If
the City is payee of a certified check or party to a bond agreement, a statement of acknowledgment shall be provided from
the City Manager.
___ 9. A certification statement for the County Auditor shall be provided.
___ 10. A certification statement for the County Recorder shall be provided.
___ 11. A list of protective covenants and restrictions.
___ 12. The boundary lines of the area being subdivided with accurate dimensions and bearings. “The minimum standards for
boundary surveys in the State of Ohio”, which went into effect on May 1, 1980, shall be met.
___ 13. A known reference point plus any municipal, township, county or section lines transgressing the plat or immediately
adjacent thereto shall be accurately tied to the lines of the subdivision by distances and bearings.
___ 14. All dedicated areas for public use plus any area reserved for future acquisition or dedication. These areas shall be
identified and dimensioned.
___ 15. The acreage of the dedicated and/or reserved areas within the plat for school, park, playground or open space purposes.
___ 16. Length of all chords, arcs, tangents and radii along with internal angles, points of curvature and tangent bearings and
length of all curves.
___ 17. Easements for public use, services, utilities and drainage with dimensions.
___ 18. All linear dimensions and angular measurements.
___ 19. All lot lines with the necessary distances and bearings and the system of identifying each lot.
___ 20. Building setback lines with dimensions.
___ 21. The location of all proposed or existing monuments and bench marks within the plat or immediately adjacent thereto.
___ 22. The location and identification of all adjacent rights-of-way, lots, alleys and easements.
___ 23. That portion of land being subdivided within a major drainage area shall be shown as it pertains to the particular area.
___ 24. Key map (see definitions).
___ 25. Delineation of existing zoning districts and all zoning setbacks shall be noted on the plat map.
___ 26. The “finished floor” elevation for all structures shall be noted for each lot in the subdivision. This shall be noted on the
same page as the covenants under the heading of “finished floor elevation by lot” and there under listing each lot number
and the elevation for same.
___ 27. The location of access point(s) approved by the County Engineer or ODOT shall be noted on the final map unless
unlimited access has been approved along the entire frontage.
___ 28. The street address for each lot shall be noted. This will be done by placing the address number inside a rectangle on
each lot.
___ 29. The acreage for each lot shall be noted and shown to a minimum of hundredths of an acre (0.00 ac.).
Additional Items:
___ 30. A copy or tracing of the current tax map showing the permanent parcel(s), including permanent parcel numbers, with the
plat boundary accurately delineated thereon and the general location of the streets and each lot of the submitted plat.
Said drawing shall also indicate the surrounding permanent parcel lines and permanent parcel numbers for five hundred
(500) feet in all directions from the plat boundary.
___ 31. A separate sheet indicating any exceptions and/or variances to the subdivision design standards or regulations and
stating the reason(s) for said exception and/or variance.
___ 32. A copy of the part of a U.S.G.S. map, preferable an 8½“ by 11” sheet, indicating the boundary of the plat and showing the
water sheds and their boundaries which affect said plat. The plat shall be located as close to the center of the map as
possible.
___ 33. A separate 8½“ by 11” sheet of paper shall be submitted listing those lots affected (reduced in area) by the “net acreage”
requirement. Said listing shall give the number of each lot so affected and the net acreage of each affected lot(s).
Page 6 of 6
Other Items:
___ 34. Application – must be complete with appropriate signatures.
___ 35. Plan, profile, typical sections, cross sections, general summary and details shall be prepared in accordance with the
general requirements of the Clark County Subdivision Regulations and the County Engineer’s Technical Specifications.
___ 36. Estimate – a cost estimate shall be submitted in a unit price format, consistent with the individual units, corresponding to
the item number from the ODOT CSM manual.
Final Plans:
___ 37. A Application – 4 copies.
___ 38. Plat Map – 20 copies *.
___ 39. Construction Drawings – 5 copies *. Contact the Clark County Engineer’s Office with any questions.
___ 40. Plat Covenants – 6 copies *.
___ 41. Cost Estimate – 4 copies *. Contact the Clark County Engineer’s Office with any questions.
* Additional copies needed when OEPA, ODOT OR ODNR involved. Contact Clark County Community Development
IF ANY OF THE ABOVE ITEMS ARE NOT CHECKED, INDICATE
ON A SEPARATE SHEET THE ITEM NUMBER AND REASON
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CLARK COUNTY COMMUNITY DEVELOPMENT (Clark County Board of Commission)

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Completed 5 August 2020

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