COMPREHENSIVE PLAN FUTURE LAND USE MAP AMENDMENT APPLICATION

COUNTY STAFF DATA ONLY Date Received: Project No. CPA-20 - GADSDEN COUNTY DEPARTMENT OF PLANNING & COMMUNITY DEVELOPMENT 1-B East Jefferson Street, Post Office Box 1799, Quincy, FL 32353-1799 PLANNING & ZONING DIVISION Phone (850) 875-8663 Fax (850) 875-7280 E-mail: planning@gadsdencountyfl.gov Web site: www.gadsdengov.net COMPREHENSIVE PLAN FUTURE LAND USE MAP AMENDMENT APPLICATION Please submit this application with appropriate documentation to the Gadsden County Planning & Community Development Department. The application and all supporting documents will be reviewed for compliance with the Comprehensive Plan, Land Development Code and other applicable ordinances. Making an application does not guarantee approval. LARGE SCALE LAND USE MAP AMENDMENT SMALL SCALE LAND USE MAP AMENDMENT 1. APPLICANT/OWNER NAME (Print): CONTACT PERSON (If Corporation): ADDRESS: CITY: STATE: ZIP: TELEPHONE: ( ) FAX: ( ) E-MAIL ADDRESS: 2. AGENT (Print): ADDRESS: CITY: STATE: ZIP: TELEPHONE: ( ) FAX: ( ) E-MAIL ADDRESS: Provide a narrative describing the amendment and providing data and justification. 3. PARCEL IDENTIFICATION NUMBER(S): (List additional parcels on back if necessary) - - N- W- - - - - N- W- - - - - N- W- - - 4. Total Parcel Acreage & Acreage to be Amended if Different:

5. FUTURE LAND USE CATEGORY: 6. PROPOSED FUTURE LAND USE CATEGORY: 7. Is the Property currently developed or in use? Describe structures/uses: 8. Indicate the Existing Use of Property (e.g. vacant, residential, farm, etc.) and the Future Land Use Map Land Use Category for adjacent properties as shown on the current adopted Future Land Use Map (attach map). DIRECTION: NORTH SOUTH EAST WEST Existing Uses of Property Future Land Use Map Designation: 9. Explain in detail the reason for this request. Attach a narrative describing the need for amendment and in answer to questions: 10. THE FOLLOWING ITEMS ARE NEEDED TO COMPLETE THIS APPLICATION REVIEW: (Note: Incomplete applications will not be scheduled for public hearings.) a. Application fee ($500 for a Small Scale Map Amendment) ($1250 Large Scale Map Amendment) b. Provide 2 originals and 12 copies of the submittal package and a.pdf on CD-Rom c. Deed(s) of the property proposed for land use change. d. Concurrency Confirmation of Capacity (Utilities, School Board) e. Boundary survey with legal description. f. g. h. Completed questions and supporting documentation described in Attachment A. Environmental Impact Assessment (as applicable) Traffic Impact Analysis (as applicable) i. Copies of Citizen s Bill of Rights Public Notice/Ad & Sign In Sheet. 11. CITIZENS GROWTH MANAGEMENT & PLANNING BILL OF RIGHTS (Ordinance #2010-05) Demonstrate compliance including copy of citizen participation plan, mailing list to property owners.50 mile, mail and newspaper notification 3 papers, written verification of public workshop, written summary of identified issues and outcomes, etc.(see attachment) 2

I certify to the best of my knowledge that all information presented in this application is true and correct to the best of my knowledge. The applicant assumes responsibility for the accuracy of all information provided, and may be required to furnish additional information before a land use plan amendment review can be determined. I AM THE OWNER, I AM THE LEGAL REPRESENTATIVE OF THE OWNER (Owners authorization to represent) of the property described which is the subject matter of this application. Under penalties of perjury, I declare that I have read said application and all sketches and data and matter attached to and made a part of said application are honest and true to the best of my knowledge and belief. I understand that by signing this document, I am giving the County or agent thereof the authority to duplicate, disseminate, and reproduce any and all items submitted as part of this request, whether copyrighted or not. SIGNATURE OF APPLICANT(s) DATE SWORN TO AND SUBSCRIBED BEFORE ME THIS day of, 20 By (Applicant) who is personally known to me or produced I.D. and did take an oath. My Commission Expires: NOTARY PUBLIC, State of Florida at Large 3

MUST BE COMPLETED BY APPLICANT (OR AUTHORIZED AGENT) EVALUATION QUESTIONNAIRE: COMPREHENSIVE PLAN AMENDMENT The following questions should be answered with discussion responses, maps, charts or graphics required to fully answer the questions. Refer to the specific policies and page numbers from the Comprehensive Plan or Florida Statutes or Administrative Rules whenever possible. In addition, provide supporting data and analysis where appropriate to address compliance with state, regional or local plans and plan requirements. 1. a) Why is the proposed plan amendment being requested? b) Is the proposed future land use consistent with adjacent future land use designations? To what extent will the proposed land use change positively impact the established character of the area? To what extent would the proposed land use proposal adversely impact the established character of the area? c) Please provide a map depicting the area proposed for a land use change on an existing land use map. Contact the department for an Arcview format version. 2. How does this proposed future land use affect the County s allocation of agricultural, residential, conservation, commercial and industrial future uses? Justify this change in allocation of land uses by providing a residential or commercial/non-residential needs analysis or assessment which indicates that the amendment is justified or needed to meet additional demand for housing or commercial/non-residential activity that cannot be met by existing lands in the same land use requested. 3. What conditions affecting the future land use designation have changed since the adoption of the Comprehensive Plan (November 26, 1991) or latest adopted Plan (2001)? Describe any changes in development patterns, utility availability, public service capacity, or other factors which affect the future land uses in this area or suitability of the proposed land use. Describe how these changed conditions affect the proposed future land use. Provide supporting data. 4. How does the proposed land use change or text change further the intent of the Comprehensive Plan? Cite specific goals, objectives and policies and what existing policies may conflict with the request. 5. How is the proposed future land use change or text change consistent with state and regional comprehensive plans? State specific policies in the ARPC Regional Policies Plan and the State Comprehensive Plan. 6. If a small scale land use map amendment is requested provide the applicable basis for the determination of small scale amendment pursuant to Chapter 163, F.S. CULTURAL/HISTORIC RESOURCE IMPACTS: 7. Does the property have historical or cultural significance and does the property contain a listing archived by the State Historic Preservation Office including contractors, property listed as historic uses or structures? 4

UTILITY INFRASTRUCTURE IMPACTS: 8. Indicate how central utilities will be provided to the land use if the request is for an Industrial, Public or Commercial land use designation or a Residential land use category that would permit densities of one (1) unit per acre or greater. 9. a) If central sewer is to be utilized, who is the provider? b) Provide a letter of capacity and willingness or intent to serve from the proposed sanitary sewer provider. Indicate whether or not expansion of wastewater facilities will be needed. If the proposed future use will require an increase in the permitted capacity, what are the anticipated problems? c) Indicate agencies or individuals responsible for funding the cost of these capacity improvements. d) Compare the anticipated impacts of this proposed change in future land use to the adopted Level of Service standards for sewer. e) If a package treatment plant and/or private waste system are proposed, indicate system capacity. f) If a septic system is proposed, what are the anticipated problems and/or potential impacts on existing environmental resources, if any? Are performance based systems required or proposed? g) Will individual wells or a private community well be provided? h) What is the distance to the nearest central sewer service? 10. a) If central water is to be utilized, who will be the provider? b) Provide a letter of capacity from the proposed water service provider. c) Will expansion or increase in permitted capacity for the existing central water system be necessary due to the proposed change? d) If so, any anticipated problems with this increase should be identified. Is fire protection pressure available? e) Compare the anticipated impacts of this proposed change in future land use to the adopted Level of Service standards for potable water. f) What is the distance to the nearest central water service? g) If a central water system will not be utilized, describe the type of facility and any potential impacts to existing natural resources. 11. a) What is the general drainage pattern in the surrounding area and what general approach to stormwater management would the requested land use change have on the volume and quality of runoff in the immediate and surrounding area? b) Identify any stormwater problems currently existing in the area that may be affected by the proposed change, if any. c) What effects would the proposed change have on any existing stormwater facilities? d) Compare the anticipated impacts of this proposed change in the future land use to the adopted Level of Service standards for drainage. 12. a) What solid waste facility will be used for the proposed change? b) What is the permitted capacity and current demand on the particular facility (include developments currently using the facility and future developments that are allocated capacity, excluding the proposed change)? 5

c) Provide a projection of the average daily volumes of solid waste that would be generated if the land use change is approved and the property developed consistent with the approval. Compare the anticipated impacts of this proposed change in future land use to the adopted Level of Service standards for solid waste. Provide a letter from the solid waste facility operator that capacity is available to serve the proposed land use. 13. Provide a Public School Facilities Capacity Analysis indicating the anticipated impact of the proposed development on public schools including the student generation for elementary, middle, and high school and impact on school capacity. RECREATION FACILITY IMPACTS: 14. What demands for recreational facilities will be created by development in accordance with the land use change? Compare the anticipated impacts of this proposed change in future land use to the adopted Level of Service standards for recreation. Describe any available plans for recreation and open space. If you are requesting a residential classification, what recreational facilities and open spaces are available in the vicinity or proposed in conjunction with the land use change? TRANSPORTATION IMPACT ASSESSMENT: 15. a) What roads will be impacted by the proposed change? b) What is the current volume of vehicles (AADT) on each impacted roadway? What is the current and proposed Level of Service (LOS)? c) Provide an estimate of trips that could be generated by the maximum development permitted under the proposed use and how this will differ from the present use. d) How will the current volume and the trips generated from the proposed use affect from the maximum volume designated for each impacted roadway? e) Provide a general projection demand (background traffic growth) on the impacted roadways exclusive of the proposed amendment. f) Discuss any transportation projects that will increase capacity or reduce traffic volumes on the impacted roadways. g) Compare the anticipated impacts of this proposed change in future land use to the adopted Level of Service standards for State and County Roads, using peak hour and AADT analysis. h) Indicate impacts of the project and service of other modes to be accommodated by the proposed amendment and potential development. i) Address financial feasibility of the transportation plans to accommodate the land use. ENVIRONMENTAL IMPACT ASSESSMENT: 16. a) Discuss the impact of the proposed future land use on the site s natural resources. Include discussions of wetlands, floodplains, soils, water bodies, uplands, native vegetation including protected trees and protected species. Specific policies within the Comprehensive Plan that govern potential impacts 6

must be referenced and the amendment must address how these critical natural resources will be protected. b) Provide and Environmental Impact Assessment Report per Comprehensive Plan Polity 5.4.2 and 5.4.3 if one is required at this stage of review. i) If wetlands are present, a wetlands map(s) depicting the location of the area(s) of change and its surrounding uses shall be included. ii) If area(s) of the proposed change are within a flood plain, provide map(s) depicting the area(s) in the floodplain. iii) Describe the type of soils and any limitations on structures, septic system drainfields, etc. that may exist. iv) Provide a soils map. v) Describe whether and how the proposed change may impact the water quality of any ground or surface waters and how these systems will be protected. c) Mining applications shall include documentation to address those policies and requirements specific to mining and providing a reclamation plan and data as required in support of the amendment. 17. If changing from an Agricultural land use category to a non-agricultural category, please answer the following questions: a) How is the proposed use consistent with existing and proposed uses of adjacent properties? How will this use impact on adjacent agricultural uses? b) How will the remaining agricultural uses affect the non-agricultural uses you propose? c) How does the proposed land use designation relate to other nearby development plans that are approved or are now being formulated? d) Has the property been used for active agricultural use in the past 5 years including row crops, pasture or silviculture? e) How do you propose to buffer adjacent uses from this development? PUBLIC SCHOOL FACILITIES IMPACT 18. How will the project impact public school facilities? Provide data and written confirmation of capacity from the School Board. CITIZENS GROWTH MANAGEMENT & PLANNING BILL OF RIGHTS ( CBR) 20. Address the requirements of the CBR (See Attached Checklist). CONCEPTUAL SITE PLAN: 21. Provide a conceptual development map which demonstrates any design concepts, proposed subdivisions, clustering, conservation design, open space tracts, etc. 22. Conceptual Site Plan including the following: a) A north arrow b) The proposed building footprint(s) c) Interior traffic patterns (driveways or streets) d) The proposed retention area(s) 7

e) Show all impervious surfaces and open space with their corresponding percentages f) Indicate any proposed buffers g) A location map h) Adjacent streets with right-of-way widths i) Location of existing structures on the site j) Applications for a Land Use Amendment over ten acres shall provide a preliminary Trip Generation Analysis k) Applications over 25 acres of non-residential or over 50 residential units shall submit a Traffic Impact Analysis Study on the impacted roadway(s) l) Applications over 40 acres shall submit an environmental analysis per Subsection 5401.B.24 m) USGS map with 10 contours n) Wetlands map showing property boundaries and required buffers/setbacks o) Soils map showing property boundaries p) Floodplain map showing property boundaries q) Indicate any existing utilities and the size and service provider of these utilities 8

OWNER S AFFIDAVIT TO REPRESENT I,, owner(s) of the following described property: PROPERTY ADDRESS:, and/or PARCEL IDENTIFICATION NUMBER, hereby authorize the following named individual(s) to appear on my behalf at the Gadsden County Planning Commission and Board of County Commissioners hearings to be held (Months), (Year). Representative: (If the authorized representative is an entity (corporation, LLC, etc.) print the name of all individuals authorized to represent the entity and title. (Phone Number) AUTHORIZED REPRESENTATIVE: BY: (SIGNATURE OF PROPERTY OWNER / ENTITY & REPRESENTATIVE WITH TITLE) STATE OF FLORIDA COUNTY OF GADSDEN The foregoing instrument was acknowledged before me this day of, 20, by who is personally known to me, or who has produced as identification and who did (did not) take an oath. NOTARY PUBLIC NAME: TITLE: COMMISSION NUMBER: 9

Gadsden County Citizens Growth Management and Planning Bill Of Rights Submittal Requirements Check List Applicants are responsible for Public Hearing Notice & Advertisements The following items must be addressed and written verification provided with applications requiring Planning Commission review and Board of County Commission Approval pursuant to Ordinance #2010-05: Check List 1. Date of the CBR meeting (within 90 days of application). 2. Copy of the Mailing List to Property Owners within 0.50 of a mile from the subject parcels 3. Copy of receipt for mailing receipt verifying the date & number of pieces mailed. 4. Copy of legal advertisement from the closest local newspaper: Twin City New (Chattahoochee), Gadsden County Times (Quincy), and Havana Herald (Havana). 1. Gadsden County Times - advertising@gadsdenotimes.com 2. Havana Herald - nick@havanaherald.net 3. Twin City News - tcnews@fairpoint.net 5. The advertisement should include the following information: i. A title. For example, You are invited to attend a Public Meeting to discuss (development name & description) as required by the Gadsden County Growth Management and Planning Bill of Rights. ii. A location map indicating the subject property and properties within a 0.50 radius or greater sufficient so that the location can be identified. iii. The date, time, place of the meeting 6. Copy of Sign-up Sheet with the Name, Address & Phone numbers of attendees 7. A summary of the meeting that identifies issues raised and/or discussed and whether they were resolved or not; and, how the plans incorporated and/or resolved the issues. G:\Applications\Citizens Bill of Rights\Citizen Bill of Rights Checklist.doc 10

Comprehensive Plan Amendment Procedural Overview: This document is only a procedural overview and all applications must meet the requirements of the County and the State of Florida. This application must be completed and returned to the Planning & Community Development Department (P&CD), with all the required exhibits & demonstration of compliance with the Citizens Growth Management and Planning Bill of Rights (CBR). The staff and other applicable County Departments will then review it. Following staff review, your request will be sent to the Planning Commission for public hearing, consideration, and recommendation. The petition and the Planning Commission s recommendation will then be forwarded to Board of County Commission (Board) for action on transmittal for large scale amendments at a public hearing. Small scale amendments are adopted by the Board and then sent to the Division of Community Planning (DCP) of the Department of Economic Opportunity, the State land planning agency. For large scale amendments, the P&CD will transmit the amendment to the DCP. If no issues are raised, the County is notified. An ordinance is then required to be adopted at a public hearing to implement the action (comprehensive plan amendment). Another CBR meeting is required at least 15 days prior to BOCC adoption. Once adopted, the ordinance is transmitted to the DCP. Once accepted, a Notice of Intent is issued. If an objection is not filed, after 30 days the amendment becomes adopted. The applicant, as identified on the petition, will be advised of all of the dates and times of the public hearings by mail, and will receive an agenda and staff recommendation report. The applicant will receive a letter from the Planning & Community Development Department notifying the applicant of the final action by the Board of County Commissioners. The applicant, the applicant s representative, as stated on the application, or the applicant s attorney should appear at the public hearings. If photographs, documents, maps or other materials are provided to the Planning Commission or the Board as evidence at a public hearing, those must be retained by the Secretary or the Clerk and become part of the official record. By law those instruments become public records and cannot be returned to you. Please make copies of any materials you wish to retain. Comprehensive Plan amendments are considered quasi-legislative. Applicants or interested individuals may contact in person, by phone, or in writing any of the Planning Commission members and/or Board members who will be making decisions on the action. However, such Planning Commission member or Board member is required to publicly disclose such contact, conversation or letters received. If you wish to appeal any determination of the Board, you will need a verbatim transcript of the record and copies of all the evidence presented. It will be your responsibility to make arrangements for the preparation of that verbatim record and/or copies of documents at your expense. W:\Applications\Comp Plan Amendment\Comprehensive_Plan_Amendment_Application 07-26-13.docx 11