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• NORTH CAROL -INA 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 Ty HTE Tracking Number: Planner: ❑ Major Subdivision Preliminary Plan/Plat commercial Site Plan ❑ Major Subdivision Final Plan/Plat ❑ Multi -Family Site Plan Owner of Record: Name: 5"Wts 4t.1 Address: 2-,t 3 odxsZ�bap_ RX- Fre CZ04D City/State/Zip: E-mail: Phone: Fax: Mobile: 91! 42.E -1332 Representative: r t, .: Phone:E-mail: 6WlA;1,40XA J1CJ.,3S2qO13 Required Data Date Confirmed Pre -Development Deed Book: 3 jS Page: ❑ Meeting Completed? Township: ❑ Conservation Conceptual Design ❑ RA -20M ❑ Plans Submitted? ❑ (03) Barbecue ❑ (10) Lillington ❑ RA -30 Construction ❑ RA -40 ❑ Drawings Submitted? ❑ (06) Duke ❑ (13) Upper Little River Industrial As -Built Plans ❑ Office & Institutional ❑ Submitted? Adjoining Agricultural Uses: ❑ Agriculture & Low Density Residential ❑ Cattle Developer: Name: Address: City/State/Zip : E-mail: Phone: Fax: Mobile: Engineer/Surveyor: Name: Address: City/State/Zip: E-mail: Phone: Fax: Mobile: Property escrl i PIN (s) : Acreage: Acres Deed Book: 3 jS Page: 4-50 Plat Book: I V= Page: Zoning: Township: ❑ Conservation ❑ (01) Anderson Creek ,S(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: Adjoining Agricultural Uses: ❑ Agriculture & Low Density Residential ❑ Cattle ❑ Low Density Residential ❑ Crops (Nursery or Row Crops) ❑ Medium Density Residential ❑ Equestrian ❑ Compact Mixed Use ❑ Hog ❑ Rural Development Node ❑ Poultry ❑ Conservation ❑ Voluntary Agricultural District OMunicipal Growth EROther: 1#J®v5U%A4A1 Unique Features (Cemeteries, etc...): Environmental escri i Does this site contain any perennial, intermittent streams or rivers? O�Yes ❑ No Stream Name(s): uv_10Amep 5'_Q04H Does this site contain any Flood Zone areas? ❑ Yes ; Approximate acreage: Acres Does this site lie within a Watershed? ❑ Yes �No If applicable, what is the total amount of impervious surfaces? r �Q, j ®yn Were any wetlands observed on the site? ❑ Yes �11\lo T— 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 E'Single Story Structure EJ Story Structure Total number of lots/units: Total acreage of proposed open space (if applicable): '/ja acres COMMERCIAL DEVELOPMENTS Business Type/Description: Hours & Days of Operation: Hazardous Materials on Site: 1 1 ies°Impact Water:,>Public (Harnett County) Sewer: ❑ Public (Harnett County) Electrical: ❑ Above Ground ❑ Private (Well) Private (Septic System) aUnderground Have all of the Harnett County Public Utilities requirements been completed? ❑ Yes RNo Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes ❑ No Distance (in feet) to nearest water line: 3©` Distance (in feet) to nearest sewer line: 2 M1Lr-_5 Traffic Analysis Impact Has a Traffic Impact Analysis (TIP) been done for this development? ❑ Yes ;R -,No Please list any anticipated circulation improvements that will accompany the development: 1. 2. 3. Characteristics of road(s) within development: ❑ Private Roads F DOT Maintained Have you received Street Name Pre -Approval? ❑ Yes ❑ No ?J`A COMMERCIAL/MULTIFAMILY/ATTACHED SINGLE FAMILY Total Number of Proposed Parking Spaces: Z.2 Parking Area Surface Material: 45p1#ad,L-r— AttaC evils (Must be submitted with application) Master Plan (For ALL phased development) Z >- V)Z �> O�.jZ r -s CO LLJ QQ (n d a ❑ Z O OnQZ � to U7 L!_ ❑ —j * Uza uja ° �w� U (n v LU ��cn J'".'Z Q7 L a ❑ Plat Of Survey ❑ ❑ ❑ ❑ Site Plan $100.00 Per Street Sign Fee $225.00 Per Lot Recreation Fee Pre -Development Meeting Completed & Materials ❑ ❑ Conceptual Design Plan 4 Copies As Required) ❑ ❑ ❑ As -built Drawins 3 CoWW r •• ® -. Condominium Declaration -. ... ❑ .. ❑ E]•• ❑ Preliminary Soils Report ❑ 175.00 ❑ HOA Documents Site Plan Review Fee: Neighborhood, Community, or Regional ❑ ❑ Outline Development Plan ❑ (PUD) $60.00 Restrictive Covenants ❑ Per Street Sign Fee due upon Final submittal) ❑ Final Soils Report ❑ $250,$400, or $1,200 Street Name Pre -Approval Letter ❑ ❑ Traffic Impact Analysis ❑ (PUD) Street Si n Invoice ❑ ❑ Stormwater Mana ement Permit & Plan ❑ ® ❑ Erosion Control Plan ❑ ® ❑ Land Use Application I1 n Item 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 $225.00 Per Lot Recreation Fee $500.00 COMMERCIAL SITE PLAN Site Plan Review Fee: Neighborhood, Communi , 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 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 aipplyif tion is trp accurate: "Property- Owner Signature Date Authorized Agent Signe 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.