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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 ..-
Development Ty
❑ Major Subdivision Preliminary Plan /Plat ❑ Commercial Site Plan
❑ Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan
HTE Tracking Number: l
Planner:
' • 1• • •
Owner of Record:
Name: HiChael ur.►�i��r
Address: tO13 5rla5 l�lcor� 42oa�
City /State /Zip: ?Smno,, NC 9--54
E -mail:
Phone:
Fax:
Mobile: 1 -_qiq- IraUq - ?� 46
Representative:
Name: %,n;1 Ar'
Address: 4 SbrC F -
City /State /Zip: J>ttnrt 1,-� C 9_b33q_
E -mail:
Phone: I -QIC?- 6qt- ` I D!SS
Fax:
Mobile: t -Cl it)- Jcit -
Required Data
Date
Confirmed
Pre - Development
I (p54
I
—Meeting Completed?
I LgCt
I Page:
Conceptual Design
Zoning:
❑
Plans Submitted?
❑ Conservation
❑ (01) Anderson Creek
Construction
® RA -20M
❑ (02) Averasboro
Drawings Submitted?
❑ RA -20R
❑ (03) Barbecue
As -Built Plans
❑ RA -30
❑ (04) Black River
Submitted?
❑ RA -40
❑ (05) Buckhorn
Developer•
Name:
Address:
City /State /Zip:
E -mail:
Phone:
Fax:
Mobile:
Engineer /Survevor:
Name: \(%1,r\,r -Pi.-A,
Address: PO 'R)cy, jtf5 1c,,- E %Vmt�f� S
City /State /Zip: hur-\n, NC a'SL_ :334
E -mail: a r
Phone: -1qliD-
Fax: I_.__ C'oio- bia- x-133
Mobile:
Property escrl do
PIN (s): Acreage:l py Acres
Deed Book:
nj j cq
Page:
I (p54
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Plat Book:
I LgCt
I Page:
I 9c)
Zoning:
Township:
OCA- ine} ' "1�" amide 11�} -per
❑ 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...): N/A
Adjoining Agricultural Uses:
❑ Cattle
❑ Crops (Nursery or Row Crops)
❑ Equestrian
❑ Hog
❑ Poultry
❑ Voluntary Agricultural District
❑ Other:
Environmental escri i
Does this site contain any perennial, intermittent streams or rivers? ❑ Yes Z No
Stream Name(s):
Does this site contain any Flood Zone areas? ❑ Yes D� No; Approximate acreage: Acres
Does this site lie within a Watershed? ❑ Yes N No
If applicable, what is the total amount of impervious surfaces?
Were any wetlands observed on the site? ❑ Yes JN No
Project escr tl
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): N/ A 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? ® Yes ❑ No
Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes [a No
Distance (in feet) to nearest water line:C'cor
Distance (in feet) to nearest sewer line: Wl-�
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:
N Private Roads [@ DOT Maintained
Have you received Street Name Pre- Approval? ❑ Yes [Z No N/A
COMMERCIAL/MULTIFAMILY /ATTACHED SINGLE FAMILY
Total Number of Proposed Parking Spaces: N d A
Parking Area Surface Material: N1 A,
Attachments (Must be submitted with application)
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Additional Per Lot Fee
$20.00
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Master Plan (For ALL
Plat Of Survey
Site Plan
Pre-Development Meeting Completed & Materials Lj I I LJ I LJ
Conceptual Design Plan 4 Copies As Required) ❑ ❑ I ❑
As -built Drawings (3 Copies Da I I—I I n
Condominium Declaration 1 ❑
Preliminary Soils Report ❑ ❑
HOA Documents ❑ ❑
Outline Development Plan rj (PUD)
Final Soils Report
Street Name Pre -ApK
Traffic Impact Analy:
Street Sign Invoice -
Stormwater Manager
Erosion Control Plan
Land Use ADDlication
roval Letter
(PUD)
Permit & Plan
Tr Fee
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
160.00
MULTI- FAMILY SITE PLAN`
Per Street Sign Fee
$175.00
Site Plan Review Fee: Neighborhood,
Community, or Regional
$250,$400,
or 11,200
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 her knowledge and belief, all information supplied with this
application is true and accurate:
Property Owner Signature Date Authorized Agent Signature aD' to
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.
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.
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