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ACC Charter Schoollm� 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.