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applicationHarnett C O U N T Y ..:, - 0 Harnett County, North Carolina Planning Department 108 E. Front Street/P.O. Bax 65, Lillington, NC 27546 Phone: (910) 893-7525; opt. 4/Fax: (910) 814-6459 Development Nam - Phase (If .. - Development T HTE Tracking Number: Planner: Major Subdivision Preliminary Plan/Plat ❑ Commercial Site Plan ❑ Major Subdivision Final Plan/Plat ❑ Multi -Family Site Plan Required Data Date Confirmed Pre -Development ❑ (02) Averasboro ❑ Meeting Completed? r7 (03) Barbecue ❑ (10) Lillington Conceptual Design n (04) Black River ❑ Plans Submitted? ❑ (05) Buckhorn ❑ (12) Stewart's Creek Construction ❑ (06) Duke ❑ (13) Upper Little River Drawings Submitted? ❑ (07) Grove As -Built Plans ❑ Submitted? Owner of Record: Name: tioct+IA- Scan ��•�elopme�t• We - Address: 31o'4? C_,,7,1J Du5�- 4a n c City/State/zip: W i \low E-mail: Phone: Fax: Mobile: Representative: Name: Address City/Sta E-mail: Phone: Fax: Mobile: Developer: ff Name: 5,, +)6, �� n �`'�-`bA►n rn �'. �iN� Address:1'.54�- City/State/Zip: Inditlou� 5pe !V -s 0— E-mail: Phone: g l 1 -10(09- 73 Fax: Mobile: 1q71Cq1 ~ Engineer/Surveyor: Name: mcL.,Idin —khJ10 _V-ir1S v►°y� /�1� Address: 1�0 KOX `1 L(W v City/State/Zip: a� - kar\v\.Q� OU �L7.�sio E-mail: .0 zr✓► ba,' mail e-ootA Phone: 919 Fax: 9►q- Mobile: 714' a\9/ - 6597 Property Description PIN(s): g599-�-�(pgp, ©Ca Acreage: /, ) 7 Acres Deed Book: 31L1_5 Page: q/�J Plat Book: Page: Zoning: ❑ Conservation Township: ❑ (01) Anderson Creek ❑ (08) Hectors Creek ❑ RA -20M ❑ (02) Averasboro ❑ (09) Johnsonville RA -20R r7 (03) Barbecue ❑ (10) Lillington ❑ RA -30 n (04) Black River ❑ (11) Neill's Creek ❑ RA -40 ❑ (05) Buckhorn ❑ (12) Stewart's Creek ❑ Commercial ❑ (06) Duke ❑ (13) Upper Little River ❑ Industrial ❑ (07) Grove ❑ Office & Institutional Land Use: ❑ Agriculture & Low Density Residential Low Density Residential Medium Density Residential ❑ Compact Mixed Use ❑ Rural Development Node ❑ Conservation ❑ Municipal Growth Unique Features (Cemeteries, etc...): Adjoining Agricultural Uses: ❑ Cattle ❑ Crops (Nursery or Row Crops) ❑ Equestrian ❑ Hog ❑ Poultry ❑ Voluntary Agricultural District ❑ Other: Environmental Description Does this site contain any perennial, intermittent streams or rivers? ❑ Yes No Stream Name(s): YXOA Does this site contain any Flood Zone areas? ❑ Yes o; Approximate acreage: Acres Does this site lie within a Watershed? ❑ Yes FA No If applicable, what is the total amount of impervious surfaces? Were any wetlands observed on the site? ❑ Yes X No Project Description SINGLE FAMILY SUBDIVISIONS COMMERCIAL/MULTIFAMILY/ATTACHED SF Site Built ❑ Masonry Structure riModular Homes ❑ Aluminum Structure ❑ Singlewide Manufactured Homes ❑ Frame Structure ❑ Doublewide Manufactured Homes ❑ Single Story Structure ❑ Multiple Story Structure Total number of lots/units: ( RdA�)-,.nA k"'f" Total acreage of proposed open space (if applicable): pA//A acres COMMERCIAL DEVELOPMENTS Business Type/Description: Hours & Days of Operation: Hazardous Materials on Site: Utilities' Impact Water: [2 Public (Harnett County) Sewer: El Public (Harnett County) Electrical: ❑ Above Ground ❑ Private (Well) �N Private (Septic System) ® Underground Have all of the Harnett County Public Utilities requirements been completed? ❑ Yes S No Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes ❑ No Distance (in feet) to nearest water line: 'I0 Distance (in feet) to nearest sewer line: A116 xr Traffic Analysis Impact Has a Traffic Impact Analysis (TIP) been done for this development? ❑ Yes JX No Please list any anticipated circulation improvements that will accompany the development: 1. 2. Characteristics of road(s) within development: ❑ Private Roads 0 DOT Maintained Have you received Street Name Pre -Approval? 0 Yes ❑ No COMMERCIAL/MULTIFAMILY/ATTACHED SINGLE FAMILY Total Number of Proposed Parking Spaces: Parking Area Surface Material: Attachments (Must be submitted with application) • i Master Plan For Plat Of Survey Site Plan Pre-Develo mer Conceptual Desi As -built Drawinc •YA Condominium D Preliminary Soil HOA Document Outline Develo Restrictive Cove Final Soils Re o Street Name Pry Traffic Impact p Street Sign Invi Stormwater Mai Erosion Control Land Use A lic -M.-%+7:1iF1- R •1IPA A•1•L_ Signatures The undersign plicant hereby certifies that, to the hest of his or her knowledge and belief, all information aGol � do s tru ccurate: j�Authorized Agent Signature Date Pr erty Owner Signature qalte This document must be signed by the property owner and the authorized agent, or a letter of authorization must be provided. All questions provided herein must be address to prevent the application from being c rev ew t e complete. All documents required must be submitted. If any of these items are not addressed DRB will notapplication.