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applicationHarnett County, North Carolina Planning Department 108 E. Front Street/P.O. Box 65, Lillington, NC 27546 Phone: (910) 893-7525; opt. 4/Fax: (910) 814-6459 Development Nam - Phase (If applicable): Development HTE Tracking Number: Planner: � 0, �j pfiv M� )s C�h,l rC4-N , hpt� ❑ Major Subdivision Preliminary Plan/Plat commercial Site Plan ❑ Major Subdivision Final Plan/Plat ❑ Multi -Family Site Plan Owner of Record: Name: S S r'.n CPi I re h rt5 Address: City/State/Zip: ire 2 `634 4- E -mail: a�na/dIL&,, /� Ai4j . ecw! Phone: &f- ff1/,2- 6 3Li I Fax: ,✓-/A Mobile: 919- f1/o?_ G 34/61 Rearesentative: Name: — 44nold lrl6lde Address: /6lyd�� Rdu� City/State/Zip: ti6831 to E-mail: 611-44/V/Af�dei /,7 eO aanG; l ./air Phone: ?/9- a -6 3/Y2 Fax: Mobile: Sc, Required Data Date Confirmed Pre -Development ❑ (01) Anderson Creek ❑ (08) Hectors Creek Meeting Completed? ❑ (02) Averasboro (09) Johnsonville Conceptual Design ❑ (03) Barbecue ❑ (10) Lillington Plans Submitted? ❑ (04) Black River ❑ (11) Neill's Creek Construction ❑ (05) Buckhorn ❑ (12) Stewart's Creek Drawings Submitted? ❑ (06) Duke ❑ (13) Upper Little River As -Built Plans ❑ (07) Grove Submitted? Developer: Name: Address: City/State/Zip: E-mail: Phone: Fax: Mobile: Engineer/Surveyor: Name: Address: City/State/Zip: E-mail: Phone: Fax: Mobile: Property Description PIN(s): ctS-7 5 - c1 _foals a 64 Acreage: ��� 5 Acres Deed Book: 2-33f5 I Page: I S/a Plat Book: lob (e Page: Zoning: Township: ❑ Conservation ❑ (01) Anderson Creek ❑ (08) Hectors Creek ❑ RA -20M ❑ (02) Averasboro (09) Johnsonville ® RA -20R ❑ (03) Barbecue ❑ (10) Lillington ❑ RA -30 ❑ (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 Z No Stream Name(s): Does this site contain any Flood Zone areas? ❑ Yes ® No; Approximate acreage: Acres Does this site lie within a Watershed? ❑ Yes IM No If applicable, what is the total amount of impervious surfaces? Were any wetlands observed on the site? ❑ Yes ❑ No Project Description SINGLE FAMILY SUBDIVISIONS COMMERCIAL/MULTIFAMILY/AT>-ACHED SF ❑ Site Built ❑ Masonry Structure ❑ Modular Homes [Aluminum Structure ❑ Singlewide Manufactured Homes ❑ Frame Structure ❑ Doublewide Manufactured Homes ❑ Single Story Structure ❑ Multiple Story Structure Total number of lots/units: Total acreage of proposed open space (if applicable):y,/� acres COMMERCIAL DEVELOPMENTS Business Type/Description: Hours & Days of Operation: Hazardous Materials on Site: C Utilities' Impact Water: V Public (Harnett County) Sewer:❑ Public (Harnett County) Electrical: ❑ Above Ground Private (Well) F7 Private (Septic System) Underground Have all of the Harnett County Public Utilities requirements been completed? ❑ Yes ❑ No Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes ❑ No Distance (in feet) to nearest water line: Distance (in feet) to nearest sewer line: Traffic Analysis Impact Has a Traffic Impact Analysis (TIP) been done for this development? ❑ Yes ❑ No Please list any anticipated circulation improvements that will accompany the development: 9_ Characteristics of road(s) within development: ® Private Roads ❑ DOT Maintained Have you received Street Name Pre -Approval? ❑ Yes ❑ No COMMERCIAL/MULTIFAMILY/ATTACHED SINGLE FAMILY Total Number of Proposed Parking Spaces: ey-1 ; 4Q Parking Area Surface Material: Attachments (Must be submitted with application) Item Fee Subtotal Total Due Plat Review Fee z>- ° z ° —'* w ¢ F- �z F- Q U z n �LU Q a I- U) �Q�C CK- o0 �JU) Per Street Sign Fee O _jZ O�<Z �a �w I—"Z # CUSTOMER RECEIPT Oper: ,iBROCK Type: CP Drawer: 1 QZ)�Q <=)Z per:: _<Q $250,$400, (1) CL a �(nLLLCL U(n �LLa Hi hwa Corridor Overlay150 Review Fee $60.00 MARKS RB CAMERON, NC 28326 I -FAMILY SITE PLAN Master Plan (For ALL phased development) ❑ ❑ SITE PLAN REVIEW $250.00 ❑ Plat Of Survey ❑ ❑ ❑ ❑ Site Plan $60.00 Tender detail ❑ ❑ Pre -Development Meeting Completed & Materials ❑ ❑ ❑ Conceptual Design Plan 4 Copies As Reg uired) ❑ ❑ ❑ As -built Drawin s 3 Co ies ❑ ❑ ❑ Condominium Declaration ❑ Preliminary Soils Report ❑ ❑ HOA Documents ❑ ❑ Outline Development Plan ❑ (PUD) Restrictive Covenants ❑ ❑ Final Soils Report ❑ ❑ Street Name Pre -Approval Letter ❑ ❑ Traffic Impact Analysis ❑ (PUD) Street Sign Invoice ❑ ❑ Stormwater Management Permit & Plan ❑ ❑ ❑ Erosion Control Plan ❑ ❑ ❑ Land Use Application ❑ ❑ Item Fee Subtotal Total Due Plat Review Fee $500.00 I_ Additional Per Lot Fee $20.00 Fire Marshal Review Fee $75.00 ,R! SUBDIVISION FINAL PLAN/PLAT Planning Review Fee $100.00 HARNETT COUNTY CASH RECEIPTS Per Street Sign Fee x-98- , R E P R I N T Per Lot Recreation Fee $500.00 # CUSTOMER RECEIPT Oper: ,iBROCK Type: CP Drawer: 1 AERCIAL SITE PLAN Bate: 6/222/15 50 Reoeipt no: 373201 Site Plan Review Fee: Neighborhood, $250,$400, Year Number Amount Community,or Regional or $1,200 2015 50036489 Hi hwa Corridor Overlay150 Review Fee $60.00 MARKS RB CAMERON, NC 28326 I -FAMILY SITE PLAN B1 BP - PERMIT FEES Per Street Sign Fee $175.00 SITE PLAN REVIEW $250.00 Site Plan Review Fee: Neighborhood, $250,$400, Community, or Regional or $1,200 CHURCH OF CHIRST Highway Corridor Overlay Review Fee $60.00 Tender detail CHED SINGLE FAMILY SITE PLAN CK CHECK PAYMEN 1726 $250.00 Total tendered 4250 00 Per Street Sign Fee (due upon Final submittal) $175.00 Total payment 250600 Site Plan Review Fee: Neighborhood, $250,$400, Trans date: 6/22115 Time: 14:24:58 Community,or Regional or $1,200 Signatures THANK YOU FOR YOUR PAYMENT The undersigned applicant hereby certifies that, to the hest of his or her knowledge application is true and accurate: Prop6rty Owner Signature IVDate Authorized Agent Signature Date 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 considered incomplete. All documents required must be submitted. If any of these items are not addressed DRB will not review the application. 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 considered incomplete. All documents required must be submitted. If any of these items are not addressed DRB will not review the application.