Fillable LOT SPLIT Application Checklist CITY OF FAYETTEVILLE, ARKANSAS (City of Fayetteville)

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LOT SPLIT Application Checklist CITY OF FAYETTEVILLE, ARKANSAS (City of Fayetteville)

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March 2020
CITY OF FAYETTEVILLE, ARKANSAS
LOT SPLIT
Please fill out the Energov webpage completely, supplying all necessary information and documentation to
support your request. Your application will not be processed until this information is furnished.
Application Checklist
Attach the following items to this application:
(1)
Payment in full of applicable fees for processing the application ($200.00 lot split fee). Any resubmittal
required due to project being tabled at Tech Plat will require a $200.00 fee per resubmittal.
(2)
Cover letter to Planning Staff describing the scope, nature and intent of the proposal.
(3)
Owner authorization letter, correspondence letter and the survey of the property showing all required
information for a Lot Split listed on the Plat Requirements checklist in Section 166.02 of the Fayetteville
Unified Development Code. These requirements are listed on the Plat Requirements page in this
application. Clearly label all original and proposed property lines.
(4)
If located within the City’s Planning Area and this lot split results in a tract(s) of less than 1.5 acres,
approval from the Arkansas Department of Health is required allowing for an individual sewage disposal
system prior to the City accepting this application.
(5)
If located within the City’s Planning Area and this lot split results in a tract(s) of less than 1.0 acre,
approval from the Washington County Planning Department is required prior to the City accepting this
application.
Note:
In order for the Washington County Assessor’s Office to officially recognize this lot split on the
deed for the property, a Correction Deed or Quitclaim Deed must be filed along with the Lot
Split survey. Please submit this deed with the final, revised copy of the Lot Split survey plat for
City of Fayetteville “Approval for Recording”.
Consent of Owner Form
PROPERTY OWNER(S) / AUTHORIZED AGENT: By signing below, I/we certify under penalty of perjury
that I am/we are the owner(s) of the property that is the subject of this application and that I/we have
authorized this application and consent to its filing.
PLEASE NOTE:
• Property Owners: Attach additional info/documentation if necessary.
• Authorized Agents: If signing on behalf of a Property Owner, a letter from each Property Owner must be
provided indicating that the agent is authorized to act on their behalf.
____________________________________________________________________________________
Associated Project (required field)
Property Owner 1:
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 2: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 3: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 4: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
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March 2020
PLAT REQUIREMENTS FOR A LOT SPLIT
(From Section 166.03 of Fayetteville Unified Development Code)
Name, address, zoning and property lines of all property owners adjacent to the exterior boundaries of the project.
Name, address, telephone numbers of owner(s), developer(s) and project representatives
North arrow, scale (graphic and written), date of preparation, zoning classification, and proposed use.
Title block located in the lower right hand corner indicating the name and type of project, scale, firm or individual preparing
drawing, date and revisions.
Provide a complete and accurate legend.
A vicinity map of the project with a radius of 1.5 miles from the project. This map shall include any Master Street Plan
streets as well as the 100 year flood plain boundary.
Street right-of-way lines clearly labeled. The drawing shall depict any future R.O.W. needs as determined by the AHTD and
Master Street Plan. Future R.O.W. as well as existing R.O.W. and center lines should be shown and dimensioned.
The location of all existing structures.
Written legal descriptions including area in square feet or acres that read clockwise for the original and resulting tracts
(Note: If the project is contained in more than one tract, the legal for each individual tract and a total tract description must
be provided.)
Boundary survey of the property shown on the plat. The surveyor shall seal, sign and date the survey. The survey shall be
tied to state plane coordinates.
Provide a benchmark, clearly defined with an accuracy of 1/100’. This benchmark must be tied to USC and GS Datum.
Benchmarks include but are not limited to the following: fire hydrant, man hole, etc.
Point-of-beginning from a permanent well-defined reference point. This P.O.B. shall be clearly labeled on the drawing.
Each plat shall have 2 points described in State Planes Coordinates, Arkansas, North, North American Datum, 1983 (NAD
83)
Show 100-yr. floodplain and/or floodway and based flood elevations. Reference the FIRM panel number and effective date.
Show on the drawing all know on-site and off-site existing utilities and easements (dimensioned) and provide the structure’s
locations, types, and condition and note them as “existing” on the plat.
Existing easements shall show the name of the easement holder, purpose of the easement, and the book and page
number for the easement. If an easement is blanket or indeterminate in nature, a note to this effect shall be placed on the
plat or plan.
Sanitary sewer systems:
a. Provide pipe locations, sizes, and types; and service location.
b. Manhole locations of rim and invert elevations
Water systems, on or near the site:
a. Provide pipe locations, types, and sizes; and service location.
b. Note the static pressure and flow of the nearest hydrant if requested.
c. Show location of proposed fire hydrants and meters.
State the width, location, and purpose of all proposed easements or rights of way for utilities, drainage, sewers, flood
control, ingress/egress or other public purposes within and adjacent to the project.
The location, widths, grades, and names of all existing and proposed streets (avoid using first names of people for new
streets), alleys, paths, and other rights-of- way, whether public or private, within and adjacent to the project; private
easements within and adjacent to the project; and the radius of each centerline curve. Private streets shall be clearly
indicated and named. Names of streets should be approved by the 911 Coordinator.
The location of known existing or abandoned water wells, sumps, cesspools, springs, water impoundments, and
underground structures within the project.
The location of known existing or proposed ground leases or access agreements, if known. (e.g. shared parking lots,
drives, areas of land that will be leased)
The location and size of existing and proposed signs, if any.
Draft of covenants, conditions, and restrictions, if any.
Show required building setbacks. Provide a note on the plat of the current setback requirements for the subdivision. A
variance is necessary from the Board of Adjustment for proposed setbacks less than those set forth in the zoning district.
Any other data or reports as deemed necessary for project review by the Zoning and Development Administrator, City
Engineer or Planning Commission.
Signature block certifying ownership, title and dedication.
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LOT SPLIT Application Checklist CITY OF FAYETTEVILLE, ARKANSAS (City of Fayetteville)

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Completed 21 January 2021

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