HomeMy WebLinkAboutMFE Checklist MUNICIPAL FACILITIES EXCLUSION CHECKLIST
(formerly called master plan exclusion)
Below,please find the information required under§ 76-4-127 MCA regarding a municipal facilities exclusion
for this subdivision within a growth policy area or first-class or second-class municipality.
1. Is this subdivisio exempt from the Montana Platting and Subdivision Act §76-3 MCA?
Yes_ No
If yes,then you may not use the Municipal Facilities Exclusion for this subdiion
2. Does this subdivision affect property with a Title 76-4 Approval? Yes No
If yes,then you may not use the Municipal Facilities Exclusion for this subdivision
3. Name of Subdivision: Blackmore Bend
4. Name and address of the applicant: East Main Investments I LC
1184 N. 15th Ave., Ste 4, Bozeman, MT 59715
5. Name and address of engineer: KI J
1982 Stadium Dr., Ste. 3, Bozeman, MT 59715
6. Copy of the preliminary, final or amended plat if available and letter of approval by the governing
body as defined in §76-3-103 MCA:Attached .
7. Number of parcels in the subdivision: 4
8. A copy of any applicable zoning ordinances in effect:
9. How construction of the sewage disposal and water supply systems or extensions will be financed
(method of financing): To be paid by the Developer/Applicant
10. Certification that the subdivision is within a jurisdictional area that has adopted a growth policy or
within a first-class or second-class municipality:
11. Copy of Growth Policy: On file Attached:
12. Location of the subdivision to the city or town,vicinity map attached:Yes � No
13. Are adequate municipal facilities, as defined in §76-4-102 MCA, for the supply of water and disposal
of sewage and solid waste available or will they be provided under§76-3-507,MCA Yes V No
14. Has the�governing body reviewed and approved plans to ensure adequate storm water drainage
Yes es No
15. Will an extension o the existing sewer main(s)be necessary to serve this subdivision?
Yes No 1
16. Will an xtension of the existing water main(s)be necessary to serve this subdivision?
Yes V No
17. Exclusion Checklist review fee, ($100)included: Yes No
18. I certify that adequate municipal facilities for the supply of water and disposal of sewage and solid
waste are available or will be provided under§76-3-507 MCA, and I certify that the governing body
has reviewed and approved plans to ensure adequate storm water drainage. I further certify that I am
authorized to sign this form on behalf of the governing body.
Name Signature
Dept. Title
City Bozeman Zip 59715 Phone 406-582-2280
Please sign and send with the$100.00 review fee to:
MONTANA DEPARTMENT OF ENVIRONMENTAL QUALITY
SUBDIVISION REVIEW SECTION
PO BOX 200901
HELENA, MT 59620