HomeMy WebLinkAboutApplicationi
Planning Department
108 E. Front Street
P.O. Box 65, Lillington, NC 27546
Phone: (910) 893 -7525 Fax: (910) 893 -2793
Total Receipt;
Applicant Information
Owner of Record: Applicant: *11 Loy✓:~ °-
Name: , Name:
Address: j Wet?'- ?-?e f - Address: Z r� � i�r acs- I�� �,-2)
City/State/Zip: c,�.�, w 20,'3c City /State /Zip:
E -mail: E -mail:
Phone: /D - V ;L - 6 a.1 3 Phone: ��® r — 57 7 2
Property Description
PIN(s): / - -n Acreage: �C. acres
Address/S No.:
Directions from Lillington:
Deed Book: 72 f'? Page: Ov `IX Plat Book: Page:
Zoning District: 77/L-P Township: .
Flood Plain &Panel: . ? S: Watershed Dist:
Water: (Public (Harnett County) Sewer: Public (Harnett County)
El Private (Well) RPrivate (Septic Tank
Requested Use:
Conditional Use for 1, e r °° r-
Required Information: (Applications will not be accepted without this information)
1. Is an Erosion and Sedimentation Control Plan required? ® No ❑ Yes
If yes, is one on file? ❑ No ❑ Yes (Please attach a copy to your application)
2. It is recommended that all non - residential developments have preliminary discussions with NC DOT
concerning driveways and other traffic issues for each project. Has this been done? ® No ❑ Yes
Date of Meeting: NCDOT Contact:
3. Is a Driveway Permit required? FA No ❑ Yes
If yes, is one on file? ❑ No ❑ Yes (Please attach a copy to your application)
4. Have you contacted applicable local, state, and federal agencies regarding building, fire, and other
possible code compliance issues? [X No ❑ Yes
Page 1 of 6 APPLICATION FOR NON - RESIDENTIAL CONDITIONAL USE PERMIT
Sketch Plan Required: Provide a sketch plan along with application. It is strongly encouraged
that sketch plans be prepared by a NC Professional Land Surveyor and that it meet the following (as
applicable):
ireyms nq i ren • •
Name of Project & Date (Including all Revision Dates
A licant /Owners Contact Information Name Address & Phone
Surveyor/Engineer Contact Information Name Address & Phone
7
Parcel ID Number /Tax ID of Tract (s)
Deed Reference of Tract (s)
Zoning Classification of Tract (s)
Location (Including Township, County, & State
Flood Plain Depicted & Noted Zone Map Number, & Effective Date
Watershed District Noted & Extent of Cove-rage Depicted
IM 3 211171 G •
Map Size 22" x 34" & Scale 1" =100' or Larger
North Point Graphic Scale & Vicinity Ma
Names & Locations of Adjacent Property Owners & Use (s)
Existing Boundaries of Tracts Showing Bearings & Distances
Gross Acreage of Development
Name(s) & Right(s) -of -way of Streets & State Road Number(s), Including
❑
Notation of Public or Private
Name, Location, Width, & Acreage of Additional Easement(s) &
❑
Right(s)-of-way Within or Adjacent to Site
Building Envelope & Required Setbacks
El
Existing & Proposed Utilities
❑
Si na a Location Easement Type, & Size
❑
Existing Structures Located on Site
❑
Fire Hydrant(s) & Street Light(s) Noted
Erosion Control Plan Submitted
❑
Hours & Days of Operation
Impervious Surface % Coverage of Lot
❑
Hazardous Materials to be Stored on Site
❑
Existing & Proposed Mechanical Areas
❑
Existing & Proposed Trash Containment Areas
El
Existing & Proposed Utility Areas
Parking Space Typical
Parking Lot Material
All parking areas on site Based on Type of Business and /or S . Ft.
Existing & Proposed Fencing, Screening, Gates and /or Dock (s)
Spillage & Pollution Prevention & Response Methods
Tell] 1 1111111 111 IN!
"Buffering Regulations (Per Harnett County Zoning Ordinance )
❑
Signatures
I, as the landowner, hereby CERTIFY that the information contained herein is true to the best of my
knowledge; and by accepting this Permit (if approved) shall in every respect conform to the terms of this
application and to the provisions of the Statutes and Ordinances regulating development in Harnett
County. Any VIOLATION of the terms above stated immediately REVOKES this Permit. I further
understand this structure is not to be occupied until a CERTIFICATE OF OCCUPANCY is issued. This
Permit expires 12 months (1 year) after the date the Permit is granted by the Harnett County Board of
Adjustment.
Page 2 of 6 APPLICATION FOR NON - RESIDENTIAL CONDITIONAL USE PERMIT
Property/Owner Signature Date
Page 3 of 6 APPLICATION FOR NON - RESIDENTIAL CONDITIONAL USE PERMIT
VV
'Written Statement
** Applicant is required to answer the following questions under oath at the Board of Adjustment Meeting - Please print answers **
Public Convenience & Welfare
1. Why are you requesting this use?
2. How will this use benefit the citizens of Harnett County?
On -site & Surrounding Land Uses
3. How will the use you are requesting affect the surrounding properties, residents and businesses in
the area? Describe in detail why and how it will or will not affect the surrounding areas? wK !�Z> t'(
9e �' /mac A,-- T�� l� �, � � � ��,,� c /���- �� �,.e A10 be,-;L '
Utilities, Access Roads, Drainage, etc...
4. Describe the driveway (width and surface) that you will be using to enter and exit the property.
1 J
5. Describe the drainage of this property.
6. How is your trash and garbage going to get to the landfill ?
Traffic
7. Describe the traffic conditions and sight distances at the State Road that serves the property.
8. What is the approximate distance between your driveway and the next nearest driveway or
intersection? "V�4 r5- "5 ," -/>
General 2.o
9. How many employees will this development employ? C V °Zu,,Ee
10. What is the estimated investment of the development? ,4. r>40
11. What experience do you have in the proposed field? �J �� %Jr��� -� 4- 41-
Conditions
12. State any conditions that you would be willing to consider as part of the approved Conditional Use
Permit. ;
Page 4 of 6 APPLICATION FOR NON - RESIDENTIAL CONDITIONAL USE PERMIT
13.Addi)tional comments the Board should consider in reviewing your application:
W4,
4, �' �i -
TO j7'Q�t
Page 5 of 6 APPLICATION FOR NON - RESIDENTIAL CONDITIONAL USE PERMIT
Action by the Board of just e
The Board of Adjustment shall approve, modify, or deny the Application for Conditional Use Permit
following the Public Hearing. In granting a Conditional Use Permit, the Board of Adjustment shall make
written findings that the applicable regulations of the district in which it is located are fulfilled. With due
regard to the nature and state of all adjacent structures and uses, the district within which it is located
and official plans for future development, the Board of Adjustment shall also make written findings that
the following provisions are fulfilled:
3.1 The requested use will not impair the integrity or character of the surrounding area
3.2 The requested use will not be detrimental to the public health, morals or welfare
3.3 Adequate utilities, access roads, drainage, sanitation and/or other necessary facilities have been
made or are being provided
3.4 That adequate measures have been or will be taken to provide ingress and egress so designed as
to minimize traffic congestion in the public streets
3.5 That the conditional use shall, in all other respects, conform to the applicable regulations of the
district in which it is located, except as such regulations may, in each instance, be modified by
the Board of Adjustment.
Note: There must be four (4) Board of Adjustment members present at the meeting to hear a
request for a Conditional Use Permit. Four (4) out of the five (5) board members must vote in
favor of grating the Permit. If only four (4) board members are present at the meeting then all
four (4) must vote in favor of granting the Permit. If three (3) or fewer members vote in favor
of granting the Conditional Use Permit, the request is denied.
** I have received and read the above statement: �'r' f/ /z
Signature Date
Page 6 of 6 APPLICATION FOR NON- RESIDENTIAL CONDITIONAL USE PERMIT