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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
r - - to III Name; .:. -
Development Ty
HTE Tracking Number:
Planner:
+ • • • •
Ct,�_E,-) JU&4
❑ Major Subdivision Preliminary Plan /Plat ❑ Commercial Site Plan
❑ Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan
Required Data
Date
Confirmed
Pre- Development
Plat Book:
Meeting Completed?
I Page:
Conceptual Design
Tow ship:
5.(01) Anderson Creek
❑ (08) Hectors Creek
Plans Submitted?
❑ (02) Averasboro
❑ (09) Johnsonville
Construction
❑ (03) Barbecue
❑ (10) Lillington
Drawings Submitted?
❑ (04) Black River
❑ (11) Neill's Creek
As -Built Plans
❑ (05) Buckhorn
❑ (12) Stewart's Creek
Submitted?
❑ (06) Duke
❑ (13) Upper Little River
Fax:
Mobile:
RSpresentative• 1
Name: r T i " 4
Address:
City /State /Zip:
E -mail: a6m r _
Phone: — R1°►^ t(• �tZ14
Fax:
Mobile:
Developer:
Name:
Add ress:
City /State /Zip:
E -mail:
Phone:
Fax:
Mobile:
Enaineer /Surv+evor:
Name: JV k,1,1ra v- •- _.�,r�-
Address:
City /State /Zip:
F -mail:
Phone:
Fax:
Mobile:
Property Description
PIN(s): n r� _ �t ®_ c,�'{�q- Acreage: 1a. 1,5 Acres
Deed Book•
I- t�kd�e
( Page:
Plat Book:
I Page:
Zoning:
El Conservation
Tow ship:
5.(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
C] Rural Development Node
❑ Conservation
❑ Municipal Growth
•ue 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 P No
Stream Name(s):
Does this site contain any Flood Zone areas? ❑ Yes PJ No; Approximate acreage: Acres
Does this site lie within a Watershed? ❑ Yes t9 No
If applicable, what is the total amount of impervious surfaces?
Were any wetlands observed on the site? ❑ Yes 19 No
Project Description
SINGLE FAMILY SUBDIVISIONS
❑ Site Built
❑ Modular Homes
❑ Singlewide Manufactured Homes
❑ Doublewide Manufactured Homes
COMMERCIAL/MULTIFAMILY /ATTACHED SF
❑ Masonry Structure
❑ Aluminum Structure
❑ Frame Structure
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:
(fkr4 y* 41A%CWi
tiliti s` acct
Water. Public (Harnett County) Sewer: Public (Harnett County) Electrical: ❑ Above Ground
Private (Well) Private (Septic System) Munderground
Have all of the Harnett County Public Utilities requirements been completed? ❑ Yes No
Have inspections been done to meet Public Utilitie�Ts� and Fire Marshal requirements? El Yes El No
Distance (in feet) to nearest water line: an 5TV
Distance (in feet) to nearest sewer line: dh rt to
Traffic Analysis Impact
Has a Traffic Impact Analysis (TIP) been done for this development? Xyes ❑ No
Please list any anticipated circulation improvements that will accompany the development:
1.
2.
3.
Characteristics of road(s) within development:
a Private Roads F1 DOT Maintained
ave you received Street Name Pre - Approval? ❑Yes El
COMMERCIAL /MULTIFAMILY /ATTACHED SINGLE FA
Total Number of Proposed Parking Spaces:
Parking Area Surface Material: 1214111,
Y
Attachments (Must be submitted with application)
MAJOR SUBDIVISION PRELIMINARY PLAN PLAT
oQ�
o �z
$500.00
H Z g
1--1
Fire Marshal Review Fee
$75.00
J
w a
�-+
Planning Review Fee
Om WZ
C)�<Z
W
�F-+Z
Per Street Sign Fee
$175.00
ELn
2:D -
�
OUP
5-
$500.00
a- 0-
) ii
Site Plan Review Fee: Neighborhood,
Community, or Regional
$250,$400,
or $1,200
-.T@M I o ° • • 1 =1311MIJIM
Highway Corridor Overlay Review Fee
$60.00
MULTI- FAMILY SITE PLAN
Master Plan For ALL phased development)
❑
El
❑
175.00
Plat Of Surve
❑
Per Street Sign Fee due upon Final submittal
175.00
Site Plan
Site Plan Review Fee: Neighborhood,
Community, or Regional
$250,$400,
or 11, 200
Pre-Development Meeting Completed & Materials
El
L1
L1
Conceptual Design Plan 4 Copies As Required)
❑
El
As -built Drawin s 3 Co ies
El
El
Condominium Declaration
Preliminary Soils Report
❑
❑
HOA Documents
❑
Outline Development Plan
(PUD)
Restrictive Covenants
❑
Final Soils Report
El
Street Name Pre-Approval Letter
❑
Traffic Impact Analysis
(PUD)
Street Sign Invoice
El
Stormwater Management Permit & Plan
Erosion Control Plan
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
$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
$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 11, 200
Signatures
The undersigned applicant hereby certifies that, to the hest of his or her know) ge an be' , all information supplied with this
application Is true and accurate: (\
� Y etc.,,, 12•13-13
Property Owner Signature Date Autidrized Agent Signatuk Date
This document must be signed by the property owner an# 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 = review the
application.