1of 7
Montgomery County Planning Department
Maryland-National Capital Park and Planning Commission
8787 Georgia Avenue
Silver Spring, Maryland 20910-3760
Effective: June 1, 2012
Phone 301.495.4550
Fax 301.495.1306
www.montgomeryplanning.org
SKETCH PLAN APPLICATION
Initial Application
Final Application
Revised Application
Amendment
M-NCPPC Staff Use Only
File Number
Fee (Attach Worksheet)
____________________
Date Final Application Received
3___________________
____________________
Fee Received by
____________________
MCPB Hearing Date
____________________
DRC Meeting Date
____________________
Lead Reviewer
____________________
NRI/FSD Number
4___________________
An application will not be accepted for review unless all required information and fees are provided. If an item requires more space, attach a separate sheet.
Sketch Plan Name: _____________________________________________________ Acres ________Sq.ft. _________
200 scale Base Map #_________, _________, __________ Tax Map #_________, __________, __________
Special Protection Area________________________________
Property Tax Account Number(s) associated with the plan (8 digits)
A. _______________ B. _______________ C. _______________ D. _______________ E. ______________
F. _______________ G. _______________ H. _______________ I. ______________
J. ______________
Location: (Complete either A or B)
A. On ____________________________________, _______ feet ____________ of ___________________________
Street Name
(N,S,E,W etc.)
Nearest Intersecting Street
B. ________ quadrant, intersection of ________________________________ and _____________________________
(N,S,E,W etc.)
Street Name
Street Name
Subdivision Information: (Complete either C, if located within a recorded subdivision, or D)
C. Lot __________________ Block __________________
Subdivision ___________________________________
D. Parcel _____ Liber _____ Folio _____; Parcel _____ Liber _____ Folio _____; Parcel ______ Liber _____ Folio ____
Planning Area:____________________ #_______________
Applicant Team (Enter all that apply and submit separate supporting documentation as necessary)
Primary Contact (Person who will be the primary contact and point person for future electronic review process.)
Company Name
Contact Person
Street Address
City
Telephone Number
ext.
Fax Number
State
Zip Code
State
Zip Code
E-mail
Owner
Company Name
Contact Person
Street Address
City
Telephone Number
ext.
Fax Number
E-mail
Sketch Plan Application:
Landscape Architect
Company Name
Contact Person
Street Address
City
Telephone Number
Fax Number
State
Zip Code
State
Zip Code
State
Zip Code
State
Zip Code
State
Zip Code
E-mail
Architect
Company Name
Contact Person
Street Address
City
Telephone Number
Fax Number
E-mail
Engineer
Company Name
Contact Person
Street Address
City
Telephone Number
Fax Number
E-mail
Attorney
Company Name
Contact Person
Street Address
City
Telephone Number
Fax Number
E-mail
Other:______________________
Company Name
Contact Person
Street Address
City
Telephone Number
Fax Number
E-mail
2 of 7
Sketch Plan Application:
Data Summary Table
3 of 7
Acres
Square Feet
Gross Tract Area
____________
____________
Area Dedicated to Public Use
____________
____________
Area Previously Dedicated to Public Use
____________
____________
Total Net Area of Sketch Plan
____________
____________
Tract Area
Gross Tract Area by Zone
Zone 1:_____________________
____________
____________
(indicate full zone, e.g., CRT2.0 C1.0 R1.5 H60)
Zone 2:_____________________
____________
____________
Zone 3:_____________________
____________
____________
Density (Total)
Permitted (Sq.Ft.)
Non-Residential
Residential
Other ____________________
Proposed (Sq.Ft.)
_________________
_________________
_________________
Total
Up to_____________
Up to_____________
Up to_____________
_________________
Total
Permitted (Ft.)
Height
Zone 1:
Zone 2:
Zone 3:
Up to _____________
Proposed (Ft.)
________________
_________________
_________________
Up to ____________
Up to ____________
Up to ____________
Parking Spaces
Non-Residential
Residential
Other ____________________
Total
_________________
_________________
__________________
(Min)
(Min)
(Min)
_________________
(Min)
Is the property located within a parking lot
district?
Yes
_____________(Max)
_____________(Max)
_____________(Max)
Total
_____________(Max)
No
If yes:_________________________________
Public Use Space
Required
Proposed
____________(%)
____________(%)
Sketch Plan Application:
4 of 7
Supplementary Information:
Previous Plan Submittals: (enter information, if applicable)
Type
Case No.
Resolution/Approval Date
Zoning Case
Development Plan/Schematic DP
Special Exception
Variance
NRI/FSD (if applicable)
SWM Concept (if applicable)
Pre-Application
Sketch Plan
Project Plan
Preliminary Plan
Site Plan
If Record Plat(s) recorded, enter M-NCPPC record plat book & page:
_____________ - ___________
______________ - _________
_______________ - _________
Describe the nature of the amendment or revision, if applicable. (Note: This form applies only to full plan amendments.) Attached
No
Is the property in the Locational Atlas and Index of Historic Sites?
Yes
No
Is the property in the Master Plan for Historic Preservation?
Yes
No
Is the property in an incorporated municipality? Yes, ___________________________________________
No
Is the property in a special taxing district?
Yes, ___________________________________________
Legal restrictions on property not shown on plan, if any* (See Submission Requirements, section 4.17)
*MNCPPC does not enforce private easements or any other private legal agreements.
Sketch Plan Application:
5 of 7
Applicant hereby acknowledges that he/she is the sole owner of the subject property, is otherwise legally authorized
to represent the owner(s) (written verification provided), or is a contract purchaser authorized to submit this application
by the property owner (written verification provided). Applicant hereby acknowledges that the 60-day time allotted for
review by the Planning Board, as set forth in Section 50-35(f) of the Subdivision Regulation, will not commence until final
plan drawings and all supporting information necessary for a decision for the subject application is provided to the
Montgomery County Planning Department so that it can be referred to the appropriate agencies for final comment.
Signature of Applicant(s) (Owner, Owners Representative or Contract Purchaser)
_______________________________________________________
_____________________
Signature
Date
_______________________________________________________
Name (Type or Print)
_______________________________________________________
_____________________
Signature
Date
_______________________________________________________
Name (Type or Print)
_______________________________________________________
_____________________
Signature
Date
_______________________________________________________
Name (Type or Print)
_______________________________________________________
_____________________
Signature
Date
_______________________________________________________
Name (Type or Print)
Sketch Plan Application: 6
of 7
Checklist
See Submission Requirements for more details about the items below:
Initial Applications: Submit only 3 copies of all relevant items below
No.
Copies
Engineer/
Surveyor
M-NCPPC
Staff
Final Applications: Submit applicable number of copies per the checklist
Submitted or N/A
1. Complete application form and checklist.............
2. Complete fee schedule worksheet and fee........................
3. Outreach Information
2 sets of
3.1 Notice List prepared in conformance with the Manual of
labels &
Development Review Procedures on printer labels and paper copy
1 paper
of labels..
copy
3.2 Copy of the application notice letter
2
3.3 Pre-submission Meeting information, including:
3.3.1 Notarized affidavit with meeting time, date and location.
1
3.3.2 Copy of invitation letter with list of Invitees..
1
3.3.3 List of meeting participants and copy of attendee sign-in sheet.
1
3.3.4 Copy of meeting minutes..
1
3.4 Site Posting Information, including:
3.4.1 Notarized affidavit with location and date of sign posting
1
3.4.2 Plan drawing with location of sign(s) (8 x 11)..
1
3.4.3 Photograph of posted sign with date stamp...
1
4. Sketch Plan Booklet (11 x 17 Booklet) with the following:
4.1 General Information
4.1.1 Complete application form and checklist.........
4.1.2 Complete fee schedule worksheet and fee..................
4.2 Justification Statement Indicating how the project meets the
requirements and standards of the zone and will further the objectives
of the applicable master or sector plan
4.3 Illustrative Plans showing:
4.3.1 Building densities, massing, heights, and the anticipated mix of
uses;
4.3.2 Locations of public use and other open spaces;
4.3.3 Pedestrian, bicycle, and vehicular circulation, parking, and
loading; and
4.3.4 Relationships between existing or proposed adjacent buildings
and rights of way
4.4 A table of proposed public benefits and the incentive density
requested for each..
4.5 A general phasing outline of structures, uses, rights-of-way,
sidewalks, dedications, public benefits, and future preliminary and site
plan applications..
12
Accepted or Not Accepted
Sketch Plan Application: 7
No.
Copies
4.6 Narrative describing how the sketch plan will:
4.6.1 Meet the objectives, general requirements, and standards of the
zone;
4.6.2 Further the recommendations and objectives of the applicable
master or sector plan;
4.6.3 Achieve compatible internal and external relationships between
existing and proposed nearby buildings, open space, and uses;
4.6.4 Provide satisfactory general vehicular, pedestrian, and bicyclist
access, circulation, parking, and loading;
4.6.5 Propose and outline of public benefits that supports the
requested incentive density; and
4.6.6 Establish a feasible and appropriate provisional phasing plan for
all structures, uses, rights-of-way, sidewalks, dedications, public
benefits, and future preliminary and site plan applications..
4.7 Certificate of Compliance attesting that the application conforms to all
applicable federal, state and local laws and regulations....
5. Supporting Information for Sketch Plan (Provide in 11x 17 Booklet Drawings and Notes must be readable)
5.1 The proposed / filed NRI/FSD
5.2 The proposed /filed SWM concept or a narrative describing
environmental site design strategy with exhibits
5.2
Local Vicinity Map, at 1" = 200', showing area within 1,000' of site
perimeter
a. Topography at five-foot contour intervals
b. Transit facilities
c. Public Parks and Recreational Facilities
d. Cultural Features (e.g., libraries, museums, entertainment
venues)
e. Streets & Roads: Master Plan ROWs and easements
5.3
Existing Site Conditions Map
a. Must include area up to 100 from the site perimeter
b. Zoning
c. Buildings and Structures
d. Roads, Alleys, Parking Areas, Sidewalks, Trails, etc.
e. Utilities
7.
PDF image of the entire proposed Sketch Plan booklet and
coordinating drawings on a cd
8. WSSC Information Sheet and Paid Receipt
Engineer/
Surveyor
Submitted or N/A
of 7
M-NCPPC
Staff
Accepted or Not Accepted
12
12
12
The engineer or surveyor hereby certifies that all required information for the submission of a preliminary plan of subdivision has been included in this
application, and that to the best of his/her knowledge, information, and reasonable belief, the information and data are accurate.
Signature of Engineer, Surveyor
______________________________________________________
______________________
Signature
Date
Name (Type or Print)
