Form 1
PRELIMINARY PLAN CHECKLIST
Date____________________________ Application Number_____ ____________________
Subdivision____________________________________________________________________
The following item(s) (does, does not) conform with the requirements of the Winchester/Clark County Subdivision Regulations. All preliminary development plans shall conform with the requirements of the Winchester/Clark County Subdivision Regulations. All preliminary plans shall conform with the requirements of the Winchester/Clark County Subdivision Regulations.
Does Does Not Item
1. _____ _____ Name of subdivision (no duplication permitted)
2. _____ _____ Scale of 1" = 50' or less
3. _____ ____ Date of preparation, north arrow, written scale
4. _____ _____ Names of adjacent subdivisions and owners
5. _____ _____ Zoning classification of all major parcels and proposed changes
6. _____ _____ Topography at two-foot intervals
7. _____ _____ Location, width, and names of existing streets, right-of-ways, easements
8. _____ _____ Location of existing utilities including sewers, water lines, and communication lines or poles
9. _____ _____ Layout, names and widths of proposed streets or easements and proper dedications
10. _____ _____ Layout and approximate dimensions of all lots
11. _____ _____ Building setback lines
12. _____ _____ Survey monuments of adjacent properties
13. _____ _____ Proposed use of lots
14. _____ _____ Sewage treatment and percolation test results
15. _____ _____ Adequate preliminary improvement plans
16. _____ _____ Required certifications
17. _____ _____ Stormwater study and drainage calculations
18. _____ _____ Design based on CBR test results for every 500 lf oft.
19. _____ _____ Type A or B drainage box inlets provided
Date____ ________________________
Title of Position___________________
________________________________
Signature
Form 2
FINAL PLAT CHECKLIST
Date____________________________ Application Number____________________________
Subdivision____________________________________________________________________
The following item(s) (does, does not) conform with the requirements of the Winchester/Clark County Subdivision Regulations. All final development plans shall conform with the requirements of the Winchester/Clark County Subdivision Regulations. All final plats shall conform with the requirements of the Winchester/Clark County Subdivision Regulations.
Does Does Not Item
1. _____ _____ Submitted within 12 months of preliminary approval
2. _____ _____ Conforms to preliminary plan and incorporates suggested changes
3. _____ _____ Name of subdivision
4. _____ _____ Written scale, date and north arrow
5. _____ _____ Property identification
6. _____ _____ Name and address of owner, surveyor, and engineer
7. _____ _____ Accurate survey data-seconds, lineal dimensions to hundredths of feet; radii internal angles, points of curvature; tangent bearing; lengths of arcs; lengths of cords
8. _____ _____ Closure
9. _____ _____ Bearings and distances to permanent monuments
10. _____ _____ Lot numbers, dimensions and addresses
11. _____ _____ Location and description of monuments
12. _____ _____ Building setback lines
13. _____ _____ Final deed restriction
14. _____ _____ Required final certifications
15. _____ _____ Special notes
16. _____ _____ Acreage on plat
17. _____ _____ Thirty-foot dedicated right-of-way
18. _____ _____ All proposed and existing roadway entrances indicated and certification that proposed entrance(s) have been approved by the agency having jurisdiction
19. _____ _____ Existing improvements, structures and utilities
20. _____ _____ Health Department approval
21. _____ _____ Flood plain elevation or appropriate notation
22. _____ _____ Proof roll test
23. _____ _____ Cluster worksheet (for ag. Divisions> 60 acres or eight tracts)
Date____________________________
Title of Position___________________
________________________________
Signature
Form 3
TECHNICAL DESIGN AND IMPROVEMENT CHECKLIST
The following item(s) (does, does not) conform with or does not apply (N.A.) to the requirements of the Winchester/Clark County Subdivision Regulations. Those items not conforming are explained on the final page:
Does Does Not N.A. Item
General
1. _____ _____ _____ Conformance with major street plan
2. _____ _____ _____ Conformance with zoning regulations
3. _____ _____ _____ No flood hazards
4. _____ _____ _____ Acceptable natural drainage and erosion control
5. _____ _____ _____ Steep slopes not limiting factor
6. _____ _____ _____ Large trees and other significant natural features
7. _____ _____ _____ Areas of historical or cultural significance
Streets
8. _____ _____ _____ Right-of-way widths
9. _____ _____ _____ Pavement widths
10. _____ _____ _____ Radius of curvature
11. _____ _____ _____ Horizontal visibility
12. _____ _____ _____ Vertical alignment and visibility
13. _____ _____ _____ Grades
14. _____ _____ _____ Cul-de-sacs
15. _____ _____ _____ Turn-around radius - ROW - and pavement
16. _____ _____ _____ Dead-end streets
17. _____ _____ _____ Dedication and addition of half streets
18. _____ _____ _____ Marginal access streets, points of access, and planting strips
19. _____ _____ _____ Alleys
20. _____ _____ _____ Alignment of intersections
21. _____ _____ _____ Spacing of intersection relative to different road classifications
22. _____ _____ _____ Avoidance of multiple intersections
23. _____ _____ _____ Avoidance of 4-way intersections
24. _____ _____ _____ Pavement and ROW of intersections
25. _____ _____ _____ Streets for commercial subdivisions
26. _____ _____ _____ Repair of pavement
27. _____ _____ _____ Streets for industrial subdivisions
28. _____ _____ _____ Crosswalks
29. _____ _____ _____ Street monuments
30. _____ _____ _____ Subgrade
31. _____ _____ _____ Base course
32. _____ _____ _____ Surface course
33. _____ _____ _____ Curbs and gutters
34. _____ _____ _____ Bridges
35. _____ _____ _____ Sidewalks
36. _____ _____ _____ Street names and numbers, signs
Lots
37. _____ _____ _____ Size
38. _____ _____ _____ Setback lines
39. _____ _____ _____ Corner lot size
40. _____ _____ _____ Avoidance of double frontage lots
41. _____ _____ _____ Driveway culverts and grade
42. _____ _____ _____ Monuments
43. _____ _____ _____ Grading plan
Others
44. _____ _____ _____ Parks and open spaces
45. _____ _____ _____ Type of water supply
46. _____ _____ _____ Test wells
47. _____ _____ _____ Type of sewage treatment
48. _____ _____ _____ Percolation test results
49. _____ _____ _____ Storm drainage system type
50. _____ _____ _____ Manholes
51. _____ _____ _____ Catch basins
52. _____ _____ _____ Headwalls
53. _____ _____ _____ Sufficient easements for utilities or open drainage
54. _____ _____ _____ Other utilities
55. _____ _____ _____ Underground utilities
Date____________________________
Title____________________________
________________________________
Signature
Form 4
APPLICATION FOR PLAT APPROVAL
Winchester/Clark County
Planning Commission
Winchester, Kentucky
Date Application No._
( ) Preliminary Plat
( ) Final Record Plat
( ) Minor Subdivision Plat
1. Name of Applicant
Address
Phone_
2. Name of Surveyor or Engineer
Address_
Phone
3. Name of Subdivision
4. Present Zoning District
5. Number of Lots
6. Total Area of Parcel
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For Official Use
Date Received
Date of Planning Commission Action
Plat Fee $
( ) Approved
( ) Disapproved Additional Comments:
For Official Use
COUNTY BOARD OF HEALTH
Date Received
Action
Comments
Signature
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PLANNING COMMISSION ENGINEER
Date Received
Action
Comments
Signature
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PLANNING COMMISSION
Date Received
Action
Fee Paid $
Comments
Signature
Note: This form must be submitted to the County Auditor for transfer and the County Recorder for recording.
(Ord. passed 3- -1995; Ord. passed 10- -2005; Ord. 2018-03, passed 2-14-2018; Ord. passed 1- -2020)