SUBDIVISION APPLICATION AND SUMMARY FORM

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SUBDIVISION APPLICATION AND SUMMARY FORM PLEASE READ NOTE AND SIGN BELOW: THE SUBMITTED APPLICATION PACKAGE REQUIRES SPECIFIC REPORTS/INFORMATION WHICH MAY NOT BE ADEQUATE AS DETERMINED THROUGH THE REVIEW PROCESS. ADDITIONAL INFORMATION MAY BE REQUIRED. ALSO, THE ACCEPTANCE OF THE APPLICATION PACKAGE DOES NOT MEAN THE SPECIFIC INFORMATION HAS BEEN APPROVED AND IN FINAL FORM. REVISIONS TO THE PLAN AND/OR REPORTS MAY BE REQUIRED. REQUESTS FOR WAIVERS OF ANY OF THESE REQUIREMENTS MUST BE ACCOMPANIED BY A LETTER OF JUSTIFICATION. THE BOARD OF COUNTY COMMISSIONERS WILL HEAR THE WAIVER REQUEST CONCURRENTLY WITH THE APPLICATION. DENIAL OF THE WAIVER REQUEST SHALL RENDER THIS APPLICATION INCOMPLETE AND RESULT IN THE REQUIREMENT FOR A NEW SUBMITTAL ACCEPTANCE DATE AND REVIEW PERIOD. YOUR SIGNATURE BELOW INDICATES ACCEPTANCE OF THESE CONDITIONS. Date: Type of Application: Owner s/applicant s/representative s Signature Preliminary Plan No. If other than owner s signature, a letter of consent authorizing the applicant/representative to act in owner s behalf must be included. NOTICE: All information, including emails, submitted to Pueblo County Department of Planning and Development is considered public record and is therefore available for public review. Assessor s Tax Parcel No. Subdivision Name: Filing No. Location of Subdivision: Township Range Section 1/4 Lot Block Subdivision Legal Description and Acreage (attach if necessary): Minimum Lot Size Existing Zone Proposed Zoning Change: MA No. Proposed Zone District Owners(s): Name Address Email Telephone Subdivider(s): Name Address Email Engineer or Surveyor: Name Address Reg. No Telephone Telephone Email PRELIMINARY PLAN_APP.DOC REV: MARCH 2015 Page - 1 -

Type of subdivision Number of Area % of Dwelling Units (Acres) Total Area Single Family Apartment Multi-Family Condominium Mobile Home Total: Commercial N/A Industrial N/A Other (Specify) * By Map Measure Street Walkways Dedicated School Sites Reserved School Sites Dedicated Park Sites Reserved Park Sites Private Open Areas Easements Other (Specify) Total Estimated Water Requirements. gallons/day Proposed Water Source (s) Estimated Sewage Disposal Requirement gallons/day Proposed Means of Sewage Disposal ---------(FOLLOWING TO BE COMPLETED BY DEPT. OF PLANNING & DEV.)---------- ACTION: Planning Commission Recommendation Approval ( ) Denial ( ) Remarks Date, 20 Board of County Commissioners Approval ( ) Denial ( ) Exemption under C.R.S. 30-28-101 (10) (d) ( ) Remarks (If exemption, state reason) Date, 20 PRELIMINARY PLAN_APP.DOC REV: MARCH 2015 Page - 2 -

PRELIMINARY PLAN REQUIREMENTS SUBMITTAL CHECKLIST THIS CHECKLIST MUST BE INCLUDED WITH YOUR APPLICATION ONLY A COMPLETE APPLICATION PACKAGE WILL BE ACCEPTED All submittal materials listed below shall also be submitted electronically, in.pdf (as applicable). Water Supply Information Summary Form (Office of State Engineer Requirement) Attached Subdivision Application and Summary Form Pages 1 & 2 of this Application Letter of Request Please follow requested format as shown on page 6 If the proposed subdivision is to include more than twenty (20) lots, proof of a developer s license held by the subdivider The Preliminary Plan shall be drawn such that the accuracy of location of alignments, boundaries & monuments are certified by a Registered Land Surveyor in the State of Colorado. A poorly drawn or illegible Plan is sufficient cause for its rejection. Preliminary Plan (2 copies folded no larger than 9 x 12 ) Plan map shall be 24 x 36 that contains: Name of subdivision Preliminary Plan Subtitle containing Lot, Block, Subdivision Name/Tract Number Pueblo West/Unit Number Colorado City, Quarter Section, Section, Township, Range, 6 th P.M., Pueblo County, Colorado Name and address of owner(s) Name and address of subsurface mineral right owner(s) & lessees Name and address of designer Legal description of property with total acreage Graphic and written scale: scale not less than 1 = 100 ; variations can be accepted in case of large subdivisions & different scale can be used if approved in advance by the Director of the Department of Planning and Development Vicinity map with general location of subdivision, related existing and planned streets and highway systems, zoning district, taxing and other special districts, significant vegetation patterns Subdivision boundary layout Lot and street layout Lots and Blocks numbered consecutively Area of each lot to nearest 1/2 acre Area of dedicated roads to nearest 1/2 acre % of total area to be devoted to roads and other specified uses Location & identification of all existing and public & private easements Existing & proposed street names Sites to be reserved or dedicated for parks, playgrounds, schools or other public use Sites for (if any): multi-family dwellings; centers; community facilities; industry; other uses exclusive of single-family dwellings Common open space not dedicated or reserved to public Perimeter relevant information within ½ Mile - accesses, abutting subdivision outlines and names Abutting property lines Existing buildings; other easements; gas line; telephone lines; power lines & other features on & within 200' of proposed subdivision boundaries PRELIMINARY PLAN_APP.DOC REV: MARCH 2015 Page - 3 -

Location, size, & proposed use of all easements (all utilities must be constructed within approved easements). Soil types & boundaries based on NLSS, USDA, SCS Interpretations/descriptions for soil types shown Significant geologic features Trees over 6" diameter at 6' above ground Outline heavily wooded areas and show location of trees which are to remain Topography (elevations based on NGS Sea Level Data) Existing contours at 1' intervals for predominantly level topography throughout subdivision Existing contours at 2' intervals for predominant ground slopes between level ground and 5% grade Existing contours at 5' intervals for slopes over 5% grade Generalize grading plan identifying cut & fill & street gradients; proposed contours as solid lines & existing contours as dashed lines Approximate boundaries of areas subject to inundation of storm water overflows of an intensity estimated to occur with a return frequency of once every hundred years Water courses & proposed storm water drainage systems including culverts; water areas; streams; areas subject to occasional flooding; marshy areas; swamps Preliminary Drainage Report shall document the drainage system & that Report shall be developed in accordance with the General Engineering Specifications for Drainage as set forth in the Pueblo County Code, Title 16, SUBDIVISIONS, Chapter 16.56, General Engineering Specifications 16.56.010, Drainage. (NOTE: Detail design of drainage structures not required for preliminary report.) A.PDF (adobe acrobat) file of the plan. PCPC shall determine from review of the Preliminary Plan whether the Subdivider will be Required to Provide Soil Erosion and Sedimentation Control Plans and Specifications as prepared by a Registered Professional Engineer or the U. S. Soil Conservation Service, using the County conservation standards or the soil & water conservation plan. If Soil Erosion & Sedimentation Control Plans are Required, the Preliminary Plan submission shall not be considered complete until such Plans have been submitted to the Board, or its designated agent, who shall furnish the Subdivider with a receipt and transmit the Plans to the Planning Commission for review of the Preliminary Plan. Text identifying the function, ownership & manner of maintenance of non-dedicated or non-reserved for public use of common open space, if applicable. Text identifying the substance of all covenants, grants of easements or restrictions to be imposed upon the use of land, buildings, & structures. Geologic Suitability Report prepared by a Professional Geologist Table of soil type interpretations from the SCS Soil Survey of Pueblo Area, CO text. Copies of all monument records pursuant to C.R.S. 38-53-103; survey notes of subdivision perimeter survey may be required by the Dept. of Planning and Development. PRELIMINARY PLAN_APP.DOC REV: MARCH 2015 Page - 4 -

Abstract of title for property, or evidence of a title insurance policy & related supporting materials - no more than 30 days old from the date of submittal. Text of the following if not already identified on the Subdivision Application and Summary Form or in other text: Total number of proposed dwelling units Total number of square feet of proposed non-residential floor space Total number of proposed off-street parking spaces, excluding those associated with single-family residential development Estimated total number of gallons per day of water system requirements Estimated total number of gallons per day of sewage to be treated where a central sewage treatment facility is proposed, or sewage disposal means and suitability where no central sewage treatment facility is proposed Estimated construction costs & finance method for providing required services & related facilitiesstreet, water, sewage, storm drainage & other utilities Adequate evidence that a water supply that is sufficient in terms of quality, quantity, and dependability will be available to ensure an adequate supply of water for the type of subdivision proposed - refer to the Pueblo County Code, Title 16, SUBDIVISIONS, Chapter 16.28, Preliminary Plan Requirements, 16.28.040, Text O. Evidence that public or private sewage treatment facilities can and will provide adequate sewage treatment for the proposed subdivision of such service is to be provided by an existing district The owner and/or subdivider shall provide evidence to the Planning Commission and, thereafter, to the Board of County Commissioners, that notice of the time and place and subject matter of the hearing before the Pueblo County Planning Commission and the hearing before the Board of County Commissioners on the preliminary plan application has been sent to all owners of subsurface mineral interests and to lessees of subsurface mineral interests, if any, by registered mail, not less than five (5) days before the date fixed for each of said hearings. Neither the Planning Commission or the Board of County Commissioners shall act upon a request for preliminary plan review and approval until such time as proof of the notice required herein has been offered to and accepted by each respective body. PRELIMINARY PLAN_APP.DOC REV: MARCH 2015 Page - 5 -

PRELIMINARY PLAN SUPPLEMENTAL INFORMATION The submittal deadline is 2:00 p.m. on the 1 st Wednesday of each month. Complete applications will be scheduled before the Pueblo County Planning Commission and the Board of County Commissioners. Information on the specific meeting/hearing dates can be obtained from the Department of Planning and Development or online at http://county.pueblo.org/sites/default/files/documents/2015_bcc_pcpcmtgdates.pdf Notice of the public meeting (Planning Commission) and hearing (Board of County Commissioners) will be sent to property owners whose property abuts or is within three hundred feet (300 ft.) of the exterior boundaries of the subject property. Notice of the proposed preliminary plan will be posted on or near the subject property and published in the newspaper. GUIDELINE FOR A LETTER OF REQUEST Where applicable, please provide the following information, in a letter format, to serve as a Letter of Request for all Department applications: 1. Date of Application. 2. Owner and Owner s Representative or Consultant (Addresses, telephone numbers and email). 3. Site location, dimensions and size of property (in feet and acres), and present zoning. 4. Action requested and the reason/purpose for the request. 5. Existing and proposed facilities, structures, roads, etc. 6. WAIVER OF ANY REQUIRED INFORMATION/REPORTS AND JUSTIFICATION FOR THE WAIVER MUST BE INCLUDED IN THIS LETTER. PRELIMINARY PLAN_APP.DOC REV: MARCH 2015 Page - 6 -

NOTICE: THE PUEBLO BOARD OF COUNTY COMMISSIONERS AND THE PUEBLO COUNTY PLANNING COMMISSION ENCOURAGE YOU TO TALK WITH YOUR NEIGHBORS REGARDING YOUR PROPOSED LAND USE OR ACTIVITY. As a part of the processing of your land use application, notice of your proposed use or activity will be sent to all property owners within three hundred (300) feet of the property, a poster style notice will be posted on or near the property and a public notice will be published in the newspaper. The notice will briefly provide the time and date of the Planning Commission and Board of County Commissioners (when applicable) meetings or hearings related to your request. The Pueblo Board of County Commissioners and the Pueblo County Planning Commission strongly encourage you to meet with the residents/owners in the area prior to these meetings or hearings to explain your proposed use or activity and to listen to concerns or suggestions the area residents may have. Such meetings may alleviate many concerns of the area residents/owners and may lead to a more efficient public meeting/hearing process. PRELIMINARY PLAN_APP.DOC REV: MARCH 2015 Page - 7 -