Dacula, GA · Gwinnett County

No notary required

Economic and Community Infrastructure Facilities Impact Worksheet

This worksheet collects project impact details from applicants filing for annexation, rezoning, a change of conditions, a special use permit, a special exception, or a variance.

What this form is

Applicants complete this worksheet and submit it with an application for annexation, rezoning, a change of conditions, a special use permit, a special exception, or a variance. It asks about the proposed project, economic effects, water and wastewater needs, traffic, solid waste, stormwater, environmental resources, and community facilities. The worksheet also includes fields for the project applicant’s contact information and estimated impacts.

Who needs it

Applicants for annexation, rezoning, a change of conditions, a special use permit, a special exception, or a variance complete this worksheet for their proposed project.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This worksheet is signed without a notary; it has no notary block or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Worksheet

    Download the Economic and Community Infrastructure Facilities Impact Worksheet PDF.

  2. 2

    Complete the Project Information

    Enter the proposed project and applicant details, then answer the questions about project impacts and infrastructure.

  3. 3

    Gather Project Information

    Gather the project estimates and details needed to answer the worksheet’s questions about utilities, traffic, environmental resources, and community facilities.

  4. 4

    Submit With Your Application

    Submit the completed worksheet with your annexation, rezoning, change of conditions, special use permit, special exception, or variance application.

Frequently asked questions

Who completes the Infrastructure Impact Worksheet?
Applicants for annexation, rezoning, a change of conditions, a special use permit, a special exception, or a variance complete it for their proposed project.
What information does the worksheet ask for?
It asks about project and applicant details, estimated economic effects, infrastructure and utility needs, transportation, environmental impacts, and community facilities.
Do I need a notary for the Infrastructure Impact Worksheet?
No. This worksheet has no notary block or sworn attachment; the signer just signs and dates it.
How do I submit the Infrastructure Impact Worksheet?
Submit it with the relevant application to the city department named on the form. Check the city website for current contact details.

Need something notarized?

This Economic and Community Infrastructure Facilities Impact Worksheet doesn’t need a notary — but if you have another Dacula form that does, a commissioned online notary can help.