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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
HTE Tracking Number:
Planner:
MIN • •
5 C) C. L
❑ Subdivision Preliminary Plan /Plat El Commercial Site Plan
,jor Subdivision Final Plan /Plat ❑ Multi - Family Site Plan
Required Data
Date
Confirmed
Pre - Development
,
Phone:
Meeting Completed?
Fax:
T< RA -20R
Conceptual Design
❑ RA -30
Representative:
Name: re-i'
Plans Submitted?
Address:
City /State /Zip:
E -mail: ;� r1�Kr r m �, Q
ey;o� �re� Lk6,eom
Construction
❑ Industrial
Fax:
Drawings Submitted?
Mobile:
As -Built Plans
❑
Submitted?
Owner of Record•
Name: • &
To nship:
Cr' k
Address:
City /State /Zip: Z- r.
E -mail:
,
Phone:
Fax:
T< RA -20R
Mobile:
❑ RA -30
Representative:
Name: re-i'
�n
Address:
City /State /Zip:
E -mail: ;� r1�Kr r m �, Q
ey;o� �re� Lk6,eom
Phone:
❑ Industrial
Fax:
Mobile:
Developer:
Name:
Address:
City /State /Zip:
E -mail:
Phone:
Fax:
Mobile:
Enaineer /Survevor:
Name: ,�� bS ulzc ,,,L,A
Address:
City /State /Zip:
E -mail:
Phone: Cito - & 7,-15& 1ln
Fax:
Mobile:
Property Description
PIN(s): 0501'- lb -gg1�1 Acreage: ` l . II Acres -7_4
I Deed Book: I t�ic((o I Page: I `--W I Plat Book: I I Page:
Zoning:
To nship:
❑ Conservation
(01) Anderson Creek
❑ RA -20M
(02) Averasboro
T< RA -20R
❑ (03) Barbecue
❑ RA -30
❑ (04) Black River
❑ RA -40
❑ (0 5) Buckhorn
❑ Commercial
❑ (06) Duke
❑ 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...):
❑ (08) Hectors Creek
❑ (09) Johnsonville
❑ (10) Lillington
❑ (11) Neill's Creek
❑ (12) Stewart's Creek
❑ (13) Upper Little River
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 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 1�4 No
If applicable, what is the total amount of impervious surfaces?
Were any wetlands observed on the site? ❑ Yes VNo
Project Description
SINGLE FAMILY SUBDIVISIONS COMMERCIAL /MULTIFAMILY /ATTACHED SF
"O 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: 2-
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: Public (Harnett County) Sewer: Public (Harnett County) Electrical: F] Above Ground
Private (Well) Private (Septic System) Underground
Have all of the Harnett County Public Utilities requirements been completed? Yes PNo
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 El No
Please list any anticipated circulation improvements that will accomp ny the development:
1.
2.
3.
Characteristics of road(s) within development:
XPrivate Roads ❑ DOT Maintained
Have you received Street Name Pre - Approval ? )A Yes ❑ No
COMMERCIAL /MULTIFAMILY /ATTACHED SINGLE
Total Number of Proposed Parking Spaces:
Parking Area Surface Material:
FAMILY
Attachments (Must be submitted with application)
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Plat Of Survey
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Master Plan (For ALL phased development)
Lj
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$500.00
Li
Plat Of Survey
❑
❑
❑
❑
Site Plan
❑
Traffic Impact Analysis
❑
❑
Pre-Development Meeting Completed & Materials
❑
❑
❑
Conceptual Design Plan 4 Copies As Required)
❑
❑
❑
As -built Drawinas (3 Copies
❑
❑ I
❑
Condominium Declaration
Preliminary Soils Report
❑
HOA Documents
$500.00
Outline Development Plan
❑ (PUS)
Restrictive Covenants
Additional Per Lot Fee
Final Soils Report
Street Name Pre-Approval Letter
❑
Traffic Impact Analysis
❑ (PUO)
Street Sign Invoice
Stormwater Management Permit & Plan
Erosion Control Plan
Land Use ADDlication
Item Fee Subtotal Total Due
MAJOR SUBDIVISION PRELIMINARY PLAN /PLAT
Plat Review Fee
$500.00
7T
Additional Per Lot Fee
$20.00
Fire Marshal Review Fee
$75.00
MAJOR SUBDIVISION FINAL PLAN /PLAT
Planning Review Fee 7$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
Highway 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
Hi2hway 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 her kno ledg a belief, all information supplied with this
application is true and accurate:
�o .Z 13-
Property Owner Signature Date Aotloorized Agent ggnature 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.