Concept Plan & Consultation Meeting Application Form
Form: #PCO1 (rev 2/2013)
Mecklenburg County Land Use and Environmental Services Agency
Application Recvd. Date:
Complete Submittal:
Yes
Time:
No
Consultation Meeting Requested for Project
Application/Permit Number:
Yes
C
No
Name of Development:
Street Name & Number:
Original Tax Parcel:
Total Area of Project (acres):
Total Disturbed Area (acres):
% Built Upon:
Land Development Fee Paid: $
Amendment to Permit#:
Type of Development:
Commercial
Residential
Mixed Use
Subdivision
Jurisdiction/Town:
Zoning Designation:
Resubmittal:
Yes
No If yes provide notification date that resubmittal was required:
Owner’s Name:
Owner’s Address:
Owner’s Phone:
Fax:
Owner’s Email:
Designer:
Name of Contact Person:
Designer’s Address:
Designer’s Phone Number:
Designer’s Email:
Fax:
Watershed District Where Project is Located:
Project Density Based on Drainage Area:
Low Density
High Density
N/A
Pollutant Removal Efficiency Required: None 85% TSS 70% TP LID (Huntersville)
Buffers Required:
Yes
No (Buffers must be delineated on the attached plan as per the Administrative Manual.)
Volume Control will be provided for the 1-year, 24-hour storm for post-development:
Yes
No
Huntersville
Peak Control will be Provided for: 10-year, 6-hour 25-year, 6-hour Huntersville Other
Open Space Required:
None
25%
17.5%
15%
10%
Huntersville
Sewer:
Charlotte-Mecklenburg Utilities
Private Wastewater System
Septic System
Water: Charlotte-Mecklenburg Utilities
Private Water System
Groundwater Well
Total Phosphorus Mitigation Requested:
Yes
No (If Yes, complete Form #PCO9 and attach)
Development/Redevelopment Mitigation Requested: Yes No (If Yes, complete Form #PCO13 and attach)
Open Space Mitigation Requested:
Yes
No (If Yes, complete Form #PCO15 and attach)
This application conveys the information necessary for review of the Concept Plan for compliance with the
applicable Post-Construction Storm Water Ordinance. Concept Plan approval is required prior to approval of the
preliminary plan for the project. The back of this form contains information that is required with the submittal of all
Concept Plan Applications. A completed application form and fee payment must be received in order for an
application to be considered complete.
Reviewed By: _______________________________________ Date: _____________________
Approved
Approved with Modifications
Approved with Performance Reservation (attached)
Approved By: _______________________________________ Date: _____________________
Concept Plan & Consultation Meeting Application Form
Form: #PCO1 (rev 2/2013)
Mecklenburg County Land Use and Environmental Services Agency
Please check off the items below that are enclosed with this Concept Plan Application. All
items must be checked in order for an application to be considered complete.
Required With Submittal of Concept Plan Application:
The preliminary or sketch plan submitted to Town Planning board (if submittal has been
made);
The boundary/property lines of the property being developed as well as the location of
property lines which intersect the boundaries of the property being subdivided or developed;
Water courses (including all perennial and intermittent streams) and flow paths on the land to
be subdivided or developed;
Impervious area declaration (high or low density);
The location, names, and rights-of-way of any existing streets on or within 300 feet of the
land to be subdivided or developed;
Contour map at two (2) foot intervals extending 100 feet beyond the property boundary.
Wetland limits (copy of appropriate Federal and State permits. If permits have not been
obtained, permit applications are to be submitted). Verification to be submitted with
preliminary plans);
The location of proposed streets (include street cross-sections), buildings, parking areas, and
other impervious surfaces as well as the location of parks or other open spaces;
Zoning information for the proposed project site and adjacent properties;
The location and width of required stream and/or lake buffers (For the Towns of Davidson
and Matthews, a map showing the locations of all streams and buffers as well as Form
#PCO39 completed and signed by a certified professional as defined in Section 13 of the
Administrative Manual must be attached to the Concept Plan Application.);
Preliminary selection and location of proposed structural storm water controls to be installed
for compliance with the appropriate Post-Construction Storm Water Ordinance;
Location of undisturbed open space as required by the Ordinance;
The scale of the plan, which shall not be smaller than 100 feet to the inch; north point; date;
A small scale vicinity map.
Where to Submit:
Applicants shall submit completed Concept Plan Applications along with attachments into the
Electronic Plans Management System (http://epm.mecklenburgcountync.gov/ ) including the
information listed on the blank application form.