Street Address:

Total Area (Acres):

Acres To be Acquired:

Existing Use Of Site
 
 

Site Location Map (8 1/2 x 11)

(Attach Tax Map with site clearly indicated)

 

Tax Map ( 8 1/2 x 1, please) Outlining Boundaries of Site to be Acciuired and Identifying Adjacent Land Uses

(Attach a Leg the Street Map with site clearly indicated)

Current Owner(s) of Site:
(please include address & phone It, if known)
 

Proposed Short and Long
Term Use of the Site By the Applicant
applicant:
 

Copy of Existing Property Survey (if available)

(Attach)

Existing Deed Restrictions,
Encumbrances and Utility
Easements (if any):
 
 
 
 
 

Potential for Development of Non-Open Space Uses on the Site:
(check all appropriate Boxes)
 

Development Application:
 
 

Describe the zoning of the site (uses & density)

Infrastructure Issues:
 
 
 

Is the site currently served by pulic water? Is the site currently served by pulic sewer? Are there plans to exend sewer and/or water to the site?

Yes No Yes No Yes No

 

The nearest water hookup is away.
The nearest sewer hookup is away.

Ownership:
 
 

Cost of Accluisition:

Cost of Land:

"Soft" Costs (surveys, appraisals)

Total

Open Space Funds Requested

BaIance
 
 
 
 
 
 

Source of balance (from previous page)
(Check all that apply)

Green AcresGrant:
Status of Grant:

Municipal Funds

OtherGrants & Donations
 
 

Land Would Principally Serve: (Check one)

Consistency With Other Plans: (Please document all responses)
The site accluisition is consistent with: (check all appropriate boxes)

Municipal Master plan

County Open Space Element

State Pevelopment & Redevelopment rla n
 

 Community Profile:

Area In Square Miles

Population as per 1990 Census

Deficit and/or Surplus
of Open Space (Balanced
Land Use Method - see p. 22)
 
 

This site contains the following natural resource characteristics:
(Check all appropriate hoxes)
 
 

Acquifer Recharge Area/Acquifer
HeadwatersofFWl Streams
Heaclwaters of FW2 Streams (specify)
Stream Corridors for FW1 Streams
Stream Corridors for FW2 Streams
Lake Shores
 
 

Historic & Archaeologic Features (specify and cite sources)

Specimen Trees/Mature Forests (specify and cite sources)
 

Endangered/Threatened Wildlife HaNtat (specify and cite sources)
 

Endangered/Threatened Vegetation (specify and cite sources)
 

Uniclue or Exceptional Ecosystems (specify and cite sources)
 

Mine Holes (Specify and give current status)
 

Sink Holes (Specify and give current status)

Hazardous Substance Contamination (Specify and give current status)

Abandoned Landfills (Specify and give current status)

Note: We may contact you to rectuest additional data.

Using this page ONLY, please explain whythis project isa high priorityforyourtown. This isan opport~unity foryou to make a case foryour project and to convey special features/factors of the site which may not 1~e adec~uately conveyed elsewhere in the application
 
 

Disbursements
 
 
 

        Balance
 
 

Total Unencumbered Balance = $
 

* (Total Funds Collected) - (Total Funds Disburssed) = Total Unencumbered Balance
 
 
 
 
 
 
 
 
 
 
 
 
 

(Complete only if property is being acctuired in less than fee simple)
 
 

Specify type of easement and summarize deed restrictions placed on land.
 
 

Will the public have access?       Yes        No
                Please Explain Below
 

What is planned for the residual property?
 

Has the value of the easement been determined?    Yes     No
            If so, how?

How and who will monitor owner’s compliance with the terms of the easement?
 

 I,                                 hereby certify to the best of my knowledge that this application is a
    (Chief Executive Officer)
true and accurate portrayal of the site proposed for accluisition underthe Morris County Open Space and Farmland Preservation Trust Fund.
 
 
 
 
 
 

In accordance with the rules and regulations of the Trust Fund, the Governing body of
                               conducted a public hearing on this application on                                 .
        (municipality)                                                                                               (date)
 
 
 
 

A copy of the minutes of this meeting (portion pertaining to this application only) are attached together with a copy of the puHic notice advertisement of the meeting.* The governing body adopted the attached resolution a uthorizing the municipality to submit this application.
 
 

  *public notice advertisement must be ten days prior to the meeting
 
 
 
 
 
 
 
 
 

please submit a copy of:

El The organization’s by-laws

El Proof of ~qalification as a charitable conservancy*

How will the charitable conservancy maintain the property? (please explain)
 

What would happen to land(s) if the conservancy no longerexisted? (please explain)
 

What land(s) do you currently own?
 
 
 

* A qualified charitable conservancy is a corporation or trust whose purposes include the acquisition and preservation of land or water areas or of a particular land or water area, or either thereof, in a natural, scenic or open condition, no part of the net earnings of which inures to the benefit of any private shareholder or individual, and which has received tax exemption under section 5010 of the 1954 Internal revenue Code.
 
 

Public input is a key element to the application process. Please document any puHic proceeclingsyour conservancy has conducted to seek public input orto advise the public ofthisapplication.*
 
 

* Attach any minutes or comments from the abve proceedings if available.
 
 

Municipal governments are given the opportunity to "review and comment" on an application submitted by a charitable conservancy. Please submit a copy of this application together with this page to the governing body of town(s) in which the project is located.
 
 

Charitable Conservancy:
 

Project Title:
 

The Governing body of the Municipality of,                                                    having reviewed the application submitted by submits the following
 

comments:
 
 
 
 
 

This checklist is enclosed to ensure that you suBmit a complete a pplication. Before suBmitting your application, run through the following checklist. do not return this form with the application.
 
 

Completed application (pp.1 through 19)

Organization’s By-laws

Proof of qualification as a CHARTIABLE CONSERVANCY

Site location map (legible street map)

Tax map outlining boundaries of the site and identifying adjacent land uses

Existing property survey (if available)

Public Input (p.18)

Proof of Municipal Governing Body Review (p.19)
 

THIS PAGE IS FOR THE APPLICANT'S USE. DO NOT RETURN WITH APPLICATION
 
 

This checklist is enclosed to ensure thatyou suBmit a complete application. Before submitting your application, run through the following checklist. Do not return this form with the application.
 
 

Completed application (pp.1 through 19)

Site location map (legible street map)

Tax map outlining boundaries of the site and identifying adjacent land uses

Existing property survey (if available)

Parcel or base map showing all lands held for recreation and conservation purposes (Scale 1" =2,000’)

Advertisement of public hearing

Minutes of public hearing (portion pertaining to this application only)

Resolution authorizing the municipality to submit the application
 

THIS PAGE IS FOR THE APPLICANT'S USE. DO NOT RETURN WITH APPLICATION