Request for Subdivision Feasibility Review

1.       Plat Requirements

1. Vicinity map;
2. Street and lot layout (note: all lots shall be consecutively numbered);
3. Include all surface drainage systems;
4. Waterways, waterbodies, flood plain areas, and wetlands;
5. Location of all soil exploration pits and percolation test holes shall be clearly identified and surveyed on plat and shall be visibly marked and identified with stakes on site;
6. GPS coordinates of percolation tests and exploration holes;
7. Location of drinking water sources and their protection areas;
8. Existing onsite wastewater systems;
9. All easements;
10. If a lot is not designated as agricultural land, it can be a non-proposed building lot. Non-proposed building lots are intended for leftover acreage when dividing off a building lot. A subdivision can only have ONE non-proposed building lot.  Non-proposed building lots must be labeled on the plat as “Not a proposed building lot”, “remainder”, or future “phase”.

 

  2.        Drinking Water supply: All lots shall have a connection to a public water system or be in compliance with non-public drinking water rules of the Department (select one of the following a – d, and complete the items under that subheading) 

       ___ a. Existing public water system without new construction. 

1. A will-serve letter from the system that will provide culinary water to the subdivision.

 

      ___ b. Connecting to existing public water system but must construct distribution lines.

                1. A letter from the Division of Drinking Water giving plan approval for the proposed construction.

                2. A letter from the culinary water provider stating they will supply water to all lots within your proposed                                   development and approve of the construction plans

 

     ___ c. Constructing new public water system (8 or more connections) 

         1. A letter from the Division of Drinking Water giving plan approval for source, storage, and distribution. 

 

___ d. If non-public wells or springs are proposed to supply water, at least 10% of the sources must be developed in accordance with the Department’s rules, and the following must be submitted to the Department:

 

    1. A chemical analysis of the water from each source. 

    2. Satisfactory bacteriological water sample from each source. 

    3. Evidence of adequate source protection areas

 

3. Sewer: All lots shall have a connection to public sewer when such sewer is available and practicable for use. (select one of the following a or b, and complete the items under that subheading)

___ a. Public Sewer 

1. Sewer is considered available if it is located within 150 feet multiplied by the number of proposed lots in all phases of the subdivision. Must submit a statement from the nearest sewer district indicating the distance, in a straight line from the nearest sewer district service line to the proposed subdivision. If it is evident that sewer cannot be reached, the developer may submit a statement explaining why sewer is inaccessible. Subdivision developments are expected to extend major sewer trunk lines if necessary.

 2. Public sewer providers determine whether public sewer is practicable for use. Their determination must be submitted to the Department.

 3. A will-serve letter from the sewer district stating they will provide sewer connections to all lots within the subdivision. 

 

___ b. Individual Onsite wastewater systems (this must be done by a certified individual) 

1. Type of onsite wastewater systems proposed if other than standard: _________________ 

2. Soil exploration hole and percolation test holes on each proposed building lot with GPS coordinates.

 3. A log of soils and formations encountered for each soil exploration pit. 

4. Percolation tests (if required) submitted for each lot (see j. not a proposed building lot). 

5. If an existing onsite wastewater system exists, an inspection of that system must be performed in accordance with TriCounty Health Department Wastewater Regulation Section 12. 6. A statement from a licensed hydrogeologist or geotechnical engineer indicating the present and maximum groundwater table throughout the development. Must comply with TriCounty Health Department Wastewater Regulation Section 18.4.1.D. 7. A statement explaining past and planned irrigation practices within the subdivision including distribution of water rights

      MUST SUBMIT THE FOLLOWING WITH APPLICATION: 

1. Map and directions to site;

2. Tax I.D. form with current property owner information; 

3. An approved county plat of the property prior to division;

4. Subdivision Review Fee: $500.00 plus $100.00 per proposed lot. Each parcel created is a lot, regardless of use or numbering system;

5. Please check that all items applicable to your application have been included in your submission. Incomplete applications will be returned. If you believe a variance from the requirements is needed, refer to TriCounty Health Department Wastewater Regulations 20 - Variance Requirements.

 

NOTE: TRUE AGRICULTURAL DIVISIONS “Actively devoted to agricultural use” DO NOT REQUIRE HEALTH DEPARTMENT APPROVAL.

*Additional information may be required.

 

This application is valid for 1 year. If TriCounty Health Department’s approval process cannot be completed within 1 year you must re-apply. Expired applications will be discarded.

TriCounty Health Department feasibility report is not subdivision approval. Approval must be obtained from the appropriate county officials. All items required on survey plat for feasibility must be on the final plat before TriCounty Health Department will sign the plat for approval.