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NORTH CAROLINA
Harnett 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
Phase (If applicable):
Development Type:
HTE Tracking Number:
Planner:
Moo • •
�5 IN
Major Subdivision Preliminary Plan /Plat ❑ Commercial Site Plan
Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan
Required Data
Date
Confirmed
Pre - Development
((01) Anderson Creek
Phone:
Meeting Completed?
Fax:
❑ (09) Johnsonville
Conceptual Design
❑ (03) Barbecue
F
Plans Submitted?
a e�'Sonc-r'eE e lco&\
Phone:
Construction
Fax:
El
Drawings Submitted?
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❑ (13) Upper Little River
As -Built Plans
❑ (07) Grove
Submitted?
Owner of Record-
Name:
rSvV\ f
K �ar -F+vS
Address: 12-5
City /State /Zip: 54 ��
E -mail:
((01) Anderson Creek
Phone:
❑ RA -20M
Fax:
❑ (09) Johnsonville
Mobile:
❑ (03) Barbecue
Representative: t� j
Name:re`1" ncxu,n�
Address:
City /State /Zip:
E -mail: '6r�" vYxQ
a e�'Sonc-r'eE e lco&\
Phone:
❑ RA -40
Fax:
❑ (12) Stewart's Creek
Mobile: 919-
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Developer:
Name:
Address:
City /State /Zip:
E -mail:
Phone:
Fax:
Mobile:
En ineer Surve
Name: gAk U�
Address:
City /State /Zip:
E -mail:
Phone: 910 - &Ci2- S& 16
Fax:
Mobile:
Property Description
PIN (s): ,S� Acreage: Acres
I Deed Book: I I Page: I its I Plat Book: I I Page: I I
Zoning:
To nship:
El 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 X No
Stream Name(s):
Does this site contain any Flood Zone areas? Yes 0 No; Approximate acreage: Acres
Does this site lie within a Watershed? ❑ Yes No
If applicable, what is the total amount of imper ious surfaces?
kh
Were any wetlands observed on the site? ❑ Yes PL 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: ��
Total acreage of proposed open space (if applicable): DM acres
COMMERCIAL DEVELOPMENTS
Business Type /Description:
Hours & Days of Operation:
Hazardous Materials on Site:
Utilities, Impact
Water: Public (Harnett County) Sewer: Public (Harnett County) Electrical: Above Ground
Private (Well) ❑ Private (Septic System) Underground
Have all of the Harnett County Public Utilities requirements been completed? 0 Yes EJ 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:
2.
3.
Characteristics of road(s) within development:
Private Roads El DOT Maintained
aver you received Street Name Pre - Approval? ❑ Yes No
COMMERCIAL /MULTIFAMILY /ATTACHED SINGLE FAMILY
Total Number of Proposed Parking Spaces:
Parking Area Surface Material:
Attachments (Must be submitted with application)
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Master Plan (For ALL phased development)
L l
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❑
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Plat Of Survey
❑
❑
❑
❑
Site Plan
Street Name Pre-Approval Letter
❑
❑
Pre-Development Meeting Completed & Materials
❑
❑
❑
Conceptual Design Plan 4 Copies As Required)
❑
Land Use Application
❑
❑
As -built Drawinqs (3 Copies)
❑
❑
❑
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
$100.00
Erosion Control Plan
Land Use Application
Per Street Sign Fee
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
$175.00
Per Lot Recreation Fee
$500.00
COMMERCIAL SITE PLAN'
Site Plan Review Fee: Neighborhood,
Community, or Regional
$250,$400,
or $1,200
HiQhway Corridor Overlay Review Fee
$60.00
MULTI - FAMILY SITE PLAN'
Per Street Sign Fee
$175.00
Site Plan Review Fee: Neighborhood,
Community, or Regional
$250,$400,
or $1,200
Highway Corridor Overlay Review Fee
$60.00
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 undersigned applicant hereby certifies that, to the hest of his or he kn� supplied with this
application is true and accurate: 6 ! ?2
Property Owner Signature Date Aut orized Agent Sig ature 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.