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applicationHarnett County, North Carolina Harnett Planning Department C O U N T Y 108 E. Front Street /P.O. Box 65, Lillington, NC 27546 Phone: (910) 893 -7525; opt. 4 /Fax: (910) 814 -6459 Development Name: FMC Anderson Creek Phase (If applicable): N/A Development Type: ❑ Major Subdivision Preliminary Plan /Plat ® Commercial Site Plan ❑ Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan HTE Tracking Number: Planner: Required Data Date Confirmed Pre - Development 7/13 ❑ Meeting Completed? City /State /Zip: Hickory, NC 28602 E -mail: Cbd1971 @gmail.com Conceptual Design 7/13 ❑ Plans Submitted? Fax: 828 - 324 -1289 Mobile: 910 - 606 -4696 Construction Representative: ❑ Drawings Submitted? Name: Chandler Engineering PA Address: As -Built Plans City /State /Zip: ❑ Submitted? E -mail: jim @chandlerengineeringpa.com Phone: Owner of Record: Developer: Name: HM's Kids, Inc. Name: David E. Looper & Company, Inc. Address: 3035 NC Hwy 87 Address: 320 15th Street SE City /State /Zip: Cameron, NC 28326 City /State /Zip: Hickory, NC 28602 E -mail: Cbd1971 @gmail.com E -mail: clarkrowe @delcomany.com Phone: 919- 606 -4696 Phone: 828 - 324 -1284 Fax: 910 - 814 -1615 Fax: 828 - 324 -1289 Mobile: 910 - 606 -4696 Mobile: 828 - 312 -8045 Representative: Engineer /Surveyor: Name: Same as Engineer Name: Chandler Engineering PA Address: Address: 309 S. Fuquay Avenue City /State /Zip: City /State /Zip: Fuquay- Varina, NC 27526 E -mail: E -mail: jim @chandlerengineeringpa.com Phone: Phone: 919 - 552 -4845 Fax: Fax: 919 - 552 -6962 Mobile: Mobile: 919- 390 -4227 Property Description PIN(s) 9585 -70- 4666.000 Acreage: 10.75 Acres Deed Book: 12799 Page: 362 Plat Book: 12 Page: 202 Zoning: Township: ❑ 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: 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 C ❑ Municipal Growth ❑ Other: Unique Features (Cemeteries, etc...): County Force Main Crossin 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 ® No If applicable, what is the total amount of impervious surfaces? 1.01 acres Were any wetlands observed on the site? ® Yes ❑ No 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 ® Single Story Structure ❑ Multiple Story Structure Total number of lots /units: 1 Total acreage of proposed open space (if applicable): N/A acres COMMERCIAL DEVELOPMENTS Business Type /Description: Dialysis Clinic Hours & Days of Operation: 6 am to 6 pm Monday through Saturday Hazardous Materials on Site: None Utilities' Impact Water: ® Public (Harnett County) Sewer:® Public (Harnett County) Electrical: ❑ Above Ground ❑ Private (Well) ❑ Private (Septic ® Underground System) 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 ® No Distance (in feet) to nearest water line: 8 Distance (in feet) to nearest sewer line: 402 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: 1. Establishment of a shared driveway entrance for connection of future development Characteristics of road(s) within development: ® Private Roads ❑ DOT Maintained Have you received Street Name Pre - Approval? ❑ Yes ® No COMMERCIAL /MULTIFAMILY /ATTACHED SINGLE FAMILY Total Number of Proposed Parking Spaces: 30 Parking Area Surface Material: Asphalt Attachments (Must be submitted with application z} 0 C z 0 O Q tn W � �zg � g < z U o - L) > a ~ > a w C1. >- ~-'z O z 0C) Q �Lu h- - amWg Q��g o� :D< 2:cna0- 2:tou -Cl- U 2:u-a- Master Plan (For ALL phased devel Plat Of Survey ❑ ❑ ® ❑ Site Plan ® ❑ Pre-Development Meeting Completed & Materials ❑ ® ❑ Conceptual Design Plan 4 Copies As Required) ❑ ® ❑ As -built Drawinqs Q Copies) I n D� n Condominium Declaration LJ Preliminary Soils Report ❑ HOA Documents ❑ ❑ Outline Development Plan ❑ (PUD) Restrictive Covenants ❑ ❑ Final Soils Report ❑ Street Name Pre - Approval Letter Traffic Impact Analysis Street Sign Invoice Stormwater Management Permit & Plan Erosion Control Plan Land Use Application (PUD) Item Fee Subtotal Total Due MAJOR SUBDIVISION PRELIMINARY PLAN /PLAT Plat Review Fee 1 $500.00 Additional Per Lot Fee j$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 $310HMPr Site Plan Review Fee: Neighborhood, Community, or Regional $250,$400, or $1,200 $250 Highway Corridor Overlay Review Fee $60.00 $60 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 application is true and accurate: 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. A-A2 1q oper er Signature Date Authorized Agent Signature Date W 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.