Morrisville UDO Administrative Manual - July 2016

Part 4 Appendices 4.5 Checklists

New Telecommunication Facility Construction Plan Approval for a Site Plan (Major or Minor) Submittal Checklist For each listed item, check (√) if provided, write “n/a” if the feature does not exist or is not proposed, and write “w” if a waiver from the requirement is justified because it is unnecessary in the particular case to determine compliance with applicable regulations. Staff Use Only √, n/a, or w Application Submittal Requirement √, n/a, or w

2 A statement on letterhead from a qualified individual that the applicant will comply with all FCC rules regarding human exposure to radio frequency (RF) energy, along with the individual’s qualifications 3 A statement on letterhead from a qualified individual that the applicant will comply with all FCC rules regarding RF interference 4 A map of the same search ring submitted and used by the applicant’s site locator 5 A map indicating applicant’s existing RF signal propagation 6 A statement on letterhead from a qualified individual that the submitted search ring is the same as utilized in the selection of the site 7 A structural certification by a Registered North Carolina Professional Engineer that the facility complies with applicable Federal, State and County building codes 8 Documentation of notification to property owners within 500 feet and Planning Department of the date and time of balloon testing 9 Results of balloon testing 10 Supplemental information may be requested for purposes of clarity or confirmation

Variance Submittal

This checklist is for all UDO variance requests, with the exception of Riparian Buffer Variances and Stormwater Variances. See 4.5.21 and 4.5.28, respectively, for those specific checklists.

Variance Submittal Checklist For each listed item, check (√) if provided, write "n/a" if the feature does not exist or is not proposed, and write "w" if a waiver from the requirement is justified because it is unnecessary in the particular case to determine compliance with applicable regulations.

Staff Use Only

√, n/a, or w

√, n/a, or w

Application Submittal Requirement

A Documents to be Submitted

1 This checklist

2 Application

3 Application fee schedule and fee payment

4 Statement of justification presenting factual evidence supporting each of the required conclusions in Section 2.5.16.D of the UDO [2 copies] B Existing Conditions Map An existing conditions map showing the following information for an area including and within 1,000 feet of the site [2 copies on 8.5" x 11" or 11" x 17" paper] 1 Property lines

2 Zoning districts - boundaries and names

3 Notation of existing land uses

4 Names of existing and approved subdivisions and other major developments

5 Existing and under-construction roadways and associated access rights-of-ways or easements (show name and label as public or private) 6 Topographic contours (at intervals of not more than 10 feet)

7 Surface waters, FEMA 100-year floodway and floodway fringe boundaries, flood hazard soils

8 Inset map showing site's location relative to County's municipalities and major roads

Morrisville, NC

July 1, 2016 Page 4-85

Administrative Manual