Fillable SUBDIVISION ORDINANCE FAMILY SUBDIVISION CHECKLIST (Montgomery County, Virginia)

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SUBDIVISION ORDINANCE FAMILY SUBDIVISION CHECKLIST (Montgomery County, Virginia)

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SUBDIVISION ORDINANCE
FAMILY SUBDIVISION CHECKLIST
Plat Name: _____________________________________________ Plat Date: ______________
Subdivider Name: ________________________________________ Phone #: ______________
Email: ________________________________________________________________________
Surveyor Name & Firm: __________________________________________________________
License Number: _________________________________________ Phone #: ______________
Email: ________________________________________________________________________
General:
___ Prepared by Virginia certified professional engineer or land surveyor
___ Location of existing and proposed monuments shown
___ Location of existing dwellings and their drain fields and reserve areas shown
___ Location of any grave, object or structure marking a place of burial shown
___ Location of existing culverts, drains and watercourses, and sinkholes shown
___ Remainder parcel also surveyed (if less than 20 acres) –Section 8-111 and 8-171(c)
OR
___ If remainder not surveyed (over 20 acres), then show sketch map (shall not be included in
vicinity map) of the entire property to be subdivided with sufficient detail to verify the
following-Section 8-171(c)1-5
a. That the remainder meets minimum road frontages requirements for the zoning district;
b. The approximate acreage of the remainder parcel;
c. The delineation of any known existing and proposed easements and rights-of-way;
d. The location of known existing septic drain fields and reserve areas and private well
locations, located by a licensed surveyor;
e. The location of existing buildings within 50 feet of any new boundary line.
DEC 2020 FAM SUBDIV CHECKLIST | PAGE 2
Plat Features:
___ Note and title bar identify as “Family Subdivision”
___ Note identifying name and address of legal owner(s)
___ Note identifying tax map number and parcel ID number
___ Note identifying zoning district
___ Reference Special Use Permit, Rezoning (Proffered Conditions), or Variance (if applicable)
___ Reference Agricultural and Forestal District Information (if applicable)-Section 8-174(11)
___ Reference Conservation Easement Information (if applicable) –Section 8-174(12)
___ Reference Dam Inundation Zone (notation shall be placed on plats, if applicable)-Section 8-
174(13)
___ Location of all known drainage easements, utility easements, sewer lines, water lines, gas
lines, power lines, manholes, or fire hydrants-Section 8-174(14)
___ Note giving total area subdivided
___ Areas of dedicated right-of-way shown (if applicable)
___ North arrow with source of meridian shown
___ Date of drawing and graphic scale shown
___ Vicinity map shown at a scale of no less than 1 in. to 2,000 ft.
___ Names of adjoining property owners and parcel ID numbers shown
Lot design and arrangement:
___ Acreage and dimensions of each lot shown
___ Meet minimum lot size for zoning district
___ Meet maximum length/width ratio for zoning district (if lot less than 20 acres)
___ Meet minimum lot frontage on a public street for zoning district, or
___ Exception for lots served by 20’ minimum right-of-way connecting to a public street
___ Provide deed/plat reference and right-of-way widths for all existing right-of-ways used to
connect to a public street
___ Provide private access easement note
___ Lot assignment table shown (if A-1 or C-1 districts) and completed correctly
___ Access to existing streets minimized
DEC 2020 FAM SUBDIV CHECKLIST | PAGE 3
___ Meet minimum setbacks for any existing structures
Floodplains:
___ Note identifying flood zone and applicable Flood Insurance Rate Map
___ Location of HUD/FEMA designated 100-year flood plain and base flood elevations shown
___ Location of approximated 100-year flood plains shown, and
___ Base flood elevations calculated (if 5+ lots or 50+ acres)
Water:
___ Public water (required if within 200 feet of an existing water line)
___ Note that all lots served by public water
___ Location of easements from lots to existing water line (15’ minimum width) shown
___ Fire hydrants meeting section 8-154 criteria shown
___ Town/PSA Subdivision Approval Letter (documentation)
OR
___ Proposed well locations shown
Sewer:
___ Public sewer (required if within 200’ of an existing sewer line)
___ Note that all lots served by pubic sewer
___ Location of easements from lots to existing sewer line (15’ minimum width) shown
___ Town/PSA Subdivision Approval Letter (documentation)
OR
___ VDH approval for each individual lot (unless exempted by 8-153(b))
___ VDH septic system permit numbers for each lot shown
___ Location of VDH approved drain fields and reserve areas for each lot shown
___ Location of any drain field/reserve area easements on adjoining properties shown
OR
___ Private soil evaluations for each individual lot (unless exempted by 8-153(b))
___ VDH Subdivision Approval Statement for use with private soil evaluations
DEC 2020 FAM SUBDIV CHECKLIST | PAGE 4
___ VDH Subdivision Approval Letter (documentation) for private soil evaluations
___ Location of approved drain fields and reserve areas for each lot shown
___ Location of any drain field/reserve area easements on adjoining properties shown
Streets:
___ Existing street names, route numbers and right-of-way width shown
___ Lots abut streets meeting VDOT right-of-way standards (Additional right-of-way dedicated if
lots abut streets with less than 50’ rights-of-way)
___ VDOT Subdivision Approval for entrances (signature line)
Public Utility and Drainage Easements:
___ Location of public utility easements (15’ minimum width) shown
___ Location of drainage easements (15’ minimum width) shown
___ Note that all utilities shall be installed underground (if 4+ lots)
Plat Statements:
___ Owner’s Statement signed by all property owners and
a. A description of the family relationship and acknowledgement that the property may
not be re-conveyed for at least three (3) years in the consent statement; OR
b. A separate statement shown and notarized on the plat: "I ____________, do hereby
verify that ____________ is my legal ____________. New tract ____________ is being
conveyed to ____________ and shall not be re-conveyed for a period of no less than
three (3) years unless subject to an involuntary transfer per Montgomery County Code."
___ Family Subdivision note stating:
"Approval of this subdivision is subject to the condition that the parcel subdivided can only
be conveyed to a member of the immediate family and shall not be transferred for a period
of no less than three (3) years as set forth in Montgomery County's Subdivision Ordinance,
as amended, and the Code of Virginia, as amended. Conveyance to any other person or
entity not an immediate family member voids approval. This restriction does not apply to
subsequent reconveyance after the three (3) year period"
DEC 2020 FAM SUBDIV CHECKLIST | PAGE 5
___ Include dedication to Montgomery County (if new public right-of-way or easements)
___ Notary’s Statement for owner’s signature
___ Conforming statement signed by surveyor/engineer
___ Source of Title signed by surveyor/engineer
___ Seal of surveyor signed by surveyor/engineer
___ Private Access Easement Statement (if applicable)
___ AFD Statement (if applicable)
___ VDOT Statement (if applicable)
___ VDH Statement (if applicable)
___ Approving Statement to be signed by Subdivision Agent
___ Family Subdivision Affidavit(s) (Grantor and Grantee)
___ Copy of draft deed with language
a. Stating familial relationship of grantor and grantee
b. Placing a restrictive covenant on the lots created by the family subdivision prohibiting
the transfer of the lots so created to a person who is not a member of the immediate
family for the three (3) year retention period.
SUBMIT PLATS TO: mcplan@montgomerycountyva.gov
This sheet is intended to only be a guide for subdivision regulations. Please see the Montgomery County Code
for the specific regulations. The full texts of the zoning and subdivision ordinances are available at the Planning
Department Webpage or at
www.municode.com.
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SUBDIVISION ORDINANCE FAMILY SUBDIVISION CHECKLIST (Montgomery County, Virginia)

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Completed 14 February 2021

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