DOCUMENTS Initial Application Date:\' .9C1 Is•\ Application p 1 I. S 1C"yc2.0 3 d.
DRB# CU It
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permnlin0 (P�hy5swa�ll�)We E.Front Snot.LeMploo,NC 27546 (Waling) m G @
ng)PO S 65 npton NC 27546 Phone:(910)893-7525 op!Y 2 Fax:(9I0)083-2793 ww.hwnetl_orWpermle
LANDOWNER: /Warn 14.A+#n e Mailing Address:
p.0. 80X 314
City': F�j�y-Vlu.Ass state:A. Zip:'1r ne ZContact# 'I lf'Ot&O'IIeS I Email:/Ea4MUK 2!ars:,.[e'y�
APPLICANT: I4 UI It3On 'r Mailing Address: Aro. 119x ?14�TI
city: FUtMNY'�Y:M state:Art zlp:2l7fcontact# 111'�t',plISf Email Addeo UK'e111g/#1q,.1.(Jrv.
'Please till out applicant Information it different than landowner 1 �
CONTACT NAME APPLYING IN OFFICE: Vain I'S`In ivA Phone it 9/9-868'91x1
PROPERTY LOCATION:Subdivision: Lot#: ) Lot Size: T0S.
State Road# Its State Road Name: 40 t Map Book&Page:fete/ /3
Parcel: ,80 Sy 00/0 oI PIN: Oa53 -44-9622 • aCIO D-P �
° I ts3
Zoning: 9R 33 Flood Zone: X Watershed: Deed Book&Page:142 / DISS Power Company': Di/RC
'New structures with Progress Energy as service provider need to supply premiser�t, number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM ULUNGTON: rTOr4n +At :A4e 'S QG'f,'p n O F
NC ZIO 4.4 or 4401 dr 1.. 4.1 w.,Lc Na(* fntxrJ F't''7-14rriac
PropetdI tsiII be an 1-I4 Itfl S.4_ of (ft to
PROPOSED USE:
A. Multi-Family Dwelling No.Units: No.Bedrooms/Unit:e�
n /�
Business Sq.Ft.Retail Space: TOO Type: 171/1DtlaTTly(. Wei( #Employees: 1- Hours of Operation: a—S
U Daycare #Preschoolers: #Afterschoolers: #Employees: Hours of Operation:
❑ Industry Sq.Ft: Type: it Employees: Hours of Operation:
U Church Seating Capacity: #Bathrooms: Kitchen:
❑ Accessory/AdditioNOther(Size x Use:
Water Supply: X. County Existing Well New Well(#of dwellings using well ) 'MUST have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist X Existing Septic Tank(Complete Checklist) County Sewer
Comments:
If permits are granted I agree to conlorm to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby stale that foregoing statements are acerp ate nd correct to the best of my knowledge. Permit subject to revocation if false information Is provided.
eak 11/21/17—
Signature of Owner or Owner's!pent
'This application expires 6 months from the Initial date If permits have not been Issued"
A RECORDED SURVEY MAP.RECORDED DEED(OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
• ---;` DEVELOPMENT REVIEW BOARD
Harnett County, North Carolina
Harnett Planning Department
COUNTY 108 E. Front Street/P.O. Box 65, Lillington, NC 27546
NORI M CAROLINA Phone: (910) 893-7525; opt. 4/Fax: (910) 814-6459
Development Name:
Phase (If applicable): y
Development Type: 0 Major Subdivision Preliminary Plan/Plat yy Commercial Slte Plan
❑ Major Subdivision Final Plan/Plat ❑ Multi-Family Site Plan
HTE Tracking Number: Required Data Date Confirmed
Planner: Pre-Development El
Meeting Completed?
Conceptual Design U
Plans Submitted?
Construction U
Aoolicant Information Drawings submitted?
As-Built Plans 0
Submitted?
Owner of Record• pevelonert
dun f- d4V.%1�U1r Name:
Address: 9317 ypth.
nl.Ilear Dr Address:
City/State/Zip: F'VLu. VL(.1)y QC 27516 City/State/Zip:
E-mail: ligan 4.11 it U7 y� al . fniv. E-mail:
Phone: qiy- rbir-41 s l Phone:
Fax: Fax:
Mobile: Mobile:
Representative: gnaineer/Survevor:
Name: Name: me,,,q,.A- U..361-*2,„,S lj u S
Address: Address: -a0.3t>x L-11.0
City/State/Zip: City/State/Zip: am. C.
E-mail: E-mail: ,,iy.,n,oJ tm b ap M.td,'( ,c-1,14"
Phone: Phone: 11:21- s4 L 9,&:,,k, I/
Fax: Fax: Qjt-Ss?- /IGio
Mobile: Mobile: 96—al- &.±-,g7
Property Description
PIN(s): Acreage: Acres
Deed Book: 34,7-9 Page: /55 4/,058' Plat Book: . Page: A3/,
Zonin : Township:
LLI Conservation 0 (01) Anderson Creek ri (08) Hectors Creek
❑ RA-20M 0 (02) Averasboro (09) Johnsonville
❑ RA-20R 0 (03) Barbecue ❑ (10) Lillington
MRA-30 ❑ (04) Black River ❑ (11) Neill's Creek
RA-40 0 (05) Buckhorn 0 (12) Stewart's Creek
❑ Commercial 0 (06) Duke 0 (13) Upper Little River
❑ Industrial ❑ (07) Grove
❑ Office & Institutional
Land Use: Adjoining Agricultural Uses:
❑ Agriculture & Low Density Residential 0 Cattle
❑ Low Density Residential 0 Crops (Nursery or Row Crops)
❑ Medium Density Residential 0 Equestrian
❑ Compact Mixed Use 0 Hog
❑ Rural Development Node 0 Poultry
❑ Conservation 0 Voluntary Agricultural District
❑ Municipal Growth 0 Other:
Unique Features (Cemeteries, etc...):
Environmental Description
Does this site contain any perennial, intermittent streams or rivers? ❑ Yes ❑ No
Stream Name(s):
Does this site contain any Flood Zone areas? 0 Yes 0 No; Approximate acreage: Acres
Does this site lie within a Watershed? ❑ Yes 0 No
If applicable, what is the total amount of impervious surfaces?
Were any wetlands observed on the site? 0 Yes 0 No
Project Description
SINGLE FAMILY SUBDIVISIONS COMMERCIAL/MULTIFAMILY/ATTACHED SF
O Site Built ❑ Masonry Structure
O Modular Homes ❑ Aluminum Structure
❑ Singlewide Manufactured Homes 0 Frame Structure
❑ Doublewide Manufactured Homes 0 Single Story Structure
❑ Multiple Story Structure
Total number of lots/units:
Total acreage of proposed open space (if applicable): acres
COMMERCIAL DEVELOPMENTS
Business Type/Description:
Hours & Days of Operation:
Hazardous Materials on Site:
Utilities' Impact
Water:CEJ Public (Harnett County) Sewer:❑ blic (Harnett County) Electrical: ❑ Above Ground
0 Private (Well) 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? 0 Yes 0 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 IS-No
Please list any anticipated circulation improvements that will accompany the development:
1.
2.
3.
Characteristics of road(s) within development:
D 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)
ce 2 Q L
O sZ O r j Z
55 5 5 te5 a
OmwZ OOcz fan _Jrz
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iu=iao- ru a ouln XLLO.
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PLEASE PROVIDE 6^ COPIES OF:
Master Plan (For ALL phased development) ■
Plat Of Survey ■
Site Plan
Pre-Development Meeting Completed & Materials I J
Conceptual Design Plan (4 Copies As Required) ❑ _
As-built Drawin•s 3 Cosies ■ _ __
PLEASE PROVIDE 1 COPY OF: All items are required if applicable
Condominium Declaration ■
Preliminary Soils Report LI 0
HOA Documents I I
Outline Development Plan I I (PUD)
Restrictive Covenants I� 0
Final Soils Report
Street Name Pre-Approval Letter n
Traffic Impact Analysis (PUP)
Street Sign Invoice
Stormwater Management Permit & Plan �J
Erosion Control Plan a e�
Land Use Application
Item Fee Subtotal Total Due
MAJOR SUBDIVISION PRELIMINARY PLAN/PLAT
Plat Review Fee $500.00 -
Additional Per Lot Fee $20.00
Fire Marshal Review Fee $75.00
MAJOR SUBDIVISION FINAL PLAN/PLAT •
Planning Review Fee $100.00
Per Street Sign Fee $225.00 •
Per Lot Recreation Fee $500.00
COMMERCIAL SITE PLAN
Site Plan Review Fee: Neighborhood, $250,$400,
Community, or Regional • or $1,200
Highway Corridor Overlay Review Fee $60.00
MULTI-FAMILY SITE PLAN
Per Street Sign Fee $225.00
Site Plan Review Fee: Neighborhood, $250,$400,
Community, or Regional or $1,200
Highway Corridor Overlay Review Fee $60.00
ATTACHED SINGLE FAMILY SITE PLAN
Per Street Sign Feeque upon Final submittal) 4225.00
Site Plan Review Fee: Neighborhood, $250, $400,
Community, or Regional or $1,200
Signatures
The undersigned appll nt hereby certifies that, to the hest of his or her knowledge and belief, all information supplied with this
ap ca Ion Is tr a accurate:
Pro erty 0 ner SI ature D to r Authorized Agent Signature Date
Thus 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 mud be submitted. If any of these items ere not addressed DRS will ngt 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 mug=be address to prevent the application from being considered Incomplete.
All documents required muni be submitted.If any of these items are not addressed DRB will DRi review the
application.