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` Harnett County, North Carolina Harnett Planning Department C 0 U N T Y 108 E. Front Street /P.O. Box 65, Lillington, NC 27546 Phone: (910) 893 -7525; opt. 4 /Fax: (910) 814 -6459 Development Name: Spout Springs Church Addition Phase (If applicable): Development -types El Major Subdivision Preliminary Plan /Plat ® Commercial Site Plan ❑ Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan HTE Tracking Number: Planner: Owner of Record: N- a Spout Springs Church, Inc �` 346 HM Cagle IIrive Clate /Zip: Cameron, NC 28326 pastorsteve @spoutsprings.org Phone: 919- 498 -2242 Fax: 919 -498 -1699 Mobile: 910- 429 -5679 Reuresentative: Name: Scott Brown, PE Address: 409 Chicago Drive, Suite 112 City /State /Zip: Fayetteville, NC 28306 E-mail: sbrown @4dsitesolutions.com Phone: • 910- 426 -6777 Fax: 910- 426 -5777 Mobile: 910- 489 -6731 Required Data Date Confirmed Pre - Development Deed Book: 1 2703 Meeting Completed? 964 Plat Book: Conceptual Design Page: D Plans Submitted? Township: ❑ Conservation Construction ❑ RA -20M ❑ (02) Averasboro ❑ (09) Johnsonville Drawings Submitted? x❑ (03) Barbecue ❑ (10) Lillington ❑ RA -30 As -Built Plans ❑ RA -40 ❑ (05) Buckhorn ❑ (12) Stewart's Creek Submitted? ❑ (06) Duke ❑ (13) Upper Little River _ ❑ Industrial Developer: Name: Fayetteville Metal Building Systems Address: 912 Cedar Creek Road City /State /Zip: Fayetteville, NC 28306 E -mail: fmbs @nc.rr.com Phone: 910- 486 -5120 Fax: 910 -486 -3381 Mobile: 910- 850 -4760 Engineer /Surveyor: Name: 4D Site Solutions, Inc Address: 409 Chicago Drive, Suite 112 City /State /Zip: Fayetteville, NC 28306 E -mail: sbrown @4dsitesolutions.com Phone: 910 -426 -6777 Fax: 910- 426 -5777 Mobile: 910 -489 -6731 Property Description PIN(s): 9585 -71- 9377.000 Acreage: 30.32 Acres Deed Book: 1 2703 1 Page: 964 Plat Book: I PC #F Page: 1 75sB Zoning: Township: ❑ Conservation ❑ (01) Anderson Creek ❑ (08) Hectors Creek ❑ RA -20M ❑ (02) Averasboro ❑ (09) Johnsonville ❑ RA -20R x❑ (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: Adjoining Agricultural Uses: ❑ Agriculture & Low Density Residential ❑ Cattle ❑ Low Density Residential Crops (Nursery or Row Crops)�iTi ❑ Medium Density Residential ❑ Equestrian ❑ Compact Mixed Use ❑ Hog ❑ Rural Development Node ❑ Poultry ❑ Conservation ❑ Voluntary Agricultural District ❑ Municipal Growth ❑ Other: Unique Features (Cemeteries, etc...): Environmental Description Does this site contain any perennial, intermittent streams or rivers? ❑ Yes M No Stream Name(s): Does this site contain any Flood Zone areas? ❑ Yes n No; Approximate acreage: Acres Does this site lie within a Watershed? ❑ Yes ❑x 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 /ATTACHED 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: N/A Total acreage of proposed open space (if applicable): acres COMMERCIAL DEVELOPMENTS Business Type /Description: church multipurpose building Hours & Days of Operation: Hazardous Materials on Site: Utilities' Impact Water: 0 Public (Harnett County) Sewer: Q Public (Harnett County) Electrical: ❑ Above Ground ❑ Private (Well) ❑ Private (Septic System) ❑ Underground Have all of the Harnett County Public Utilities requirements been completed? ❑ Yes El No Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes Q 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 FK No Please list any anticipated circulation improvements that will accompany the development: 1. 2. 3. 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: 291 total Parking Area Surface Material: Asphalt & gravel Attachments (Must be submitted with application) PLEASE PROVIDE • • • Master Plan (For ALL phased development) z} ozg > a O z Q��g E(tlaa ❑ z O g > a O z QD 5' u)u -a ❑ —i Z o- w oU U w >- ! z �¢� 2: U- ❑ Plat Of Survey ❑ ❑ ❑ ❑ Site Plan Fire Marshal Review Fee x❑ ❑ Pre-Development Meeting Completed & Materials ❑ x❑ ❑ Conceptual Design Plan 4 Copies As Required) ❑ ❑ ❑ As -built Drawings 3 Co ies ❑ 1 ❑ ❑ PLEASE PROVIDE I COPY s F- All items are required Condominium Declaration if applicable { Final Re-Inspection Fee ❑ Preliminary Soils Report ❑ COMMERCIAL SITE PLAN $250.00 0 Site Plan Review Fee: Neighborhood, Community, or Regional HOA Documents 2.50.00 ❑ ❑ Outline Development Plan ❑ (PUD) MULTI - FAMILY SITE PLAN Restrictive Covenants $200.00+ 50/ acre ❑ ❑ Final Soils Report $175.00 ❑ ATTACHED SINGLE FAMILY SITE PLAN Street Name Pre-Approval Letter Per Street Sign Fee (due upon Final submittal) $175.00 ❑ Traffic Impact Analysis ❑ (PUD) $250,$400, or $1,200 Street Sign Invoice ❑ ❑ Stormwater Management Permit & Plan ❑ x❑ ❑ Erosion Control Plan ❑ x❑ ❑ Land Use A2plication ® ❑ Item Fee Subtotal Total Due MAJOR SUBDIVISION PRELIMINARY PLAN /PLAT Plat Review Fee s5oo.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 $175.00 Per Lot Recreation Fee $500.00 { Final Re-Inspection Fee $50.00 COMMERCIAL SITE PLAN $250.00 Site Plan Review Fee: Neighborhood, Community, or Regional $250,$400, or $1,200 2.50.00 Highway Corridor Overlay Review Fee $60.00 MULTI - FAMILY SITE PLAN Per Street Sign Fee $200.00+ 50/ acre Site Plan Review Fee $175.00 ATTACHED SINGLE FAMILY SITE PLAN Per Street Sign Fee (due upon Final submittal) $175.00 Site Plan Review Fee: Neighborhood, Community, or Regional $250,$400, or $1,200 Signatures The undersi ned applicant hereby certifies that, to the best of his or her knowledge and belief, all information supplied with this applic s true a d accurate: roperty Owner Signature Date Authorized Agent Signature Date This document must be signed by the property owner and the authorized agent, or a letter of authorization must be oravided. All questions provided herein must be address to prevent the anolication from beina considered incomplete.