applicationDEVELOPMENT REVIEW BOARD
Harnett County, North Carolina
Planning Department
108 E. Front Street /P.O.
Phone: (910) 893-7525;
Development
Phase applicable):
Development Ty• -
HTE Tracking Number:
Planner:
Box 65, Lillington, NC 27546
opt. 4 /Fax: (910) 814 -6459
❑ Major Subdivision Preliminary Plan /Plat M Commercial Site Plan
❑ Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan
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Required Data
Date
Confirmed
Pre - Development
Township:
❑
Meeting Completed?
❑ (0 1) Anderson Creek
❑ (08) Hectors Creek
Conceptual Design
❑ (02) Averasboro
❑
Plans Submitted?
❑ (0 3) Barbecue
❑ (10) Lillington
Construction
❑ (04) Black River
❑
Submitted?
(0 5) Buckhorn
❑ (12) Stewart's Creek
—Drawings
As -Built Plans
❑ (06) Duke
❑
Submitted?
❑ (07) Grove
Owner of Record: Developer:
Name: EL.I f_T-i I S -HD LL-E- Name:
Address: M4 U PJE� Address:
City /State /Zip: f tULVL1A�f -- \fA�,) NA/ c27524 City /State /Zip:
E -mail: cio/1povJ� E -mail:
Phone: Phone:
Fax: Fax:
Mobile: Mobile:
Representative:
Name: eaa.1 [� ,e(? I I?LS
Address:
City /State /Zip: 5
E -mail: -^ oI 1
Phone: 1 01 . sgg's�;, (L} Aq
Fax: r-10 SS3 -2 S5
Mobile:
Enaineer /Surveyor:
■
/ / ✓ J /
Property Description
PIN (s): j („ 14 --� (_Aaq , UN-j(-) Acreage: Acres
Deed Book: I -310(t)
I Page: 821• 823 1
Plat Book: j 2013 Page:
Zoning:
Township:
❑ Conservation
❑ (0 1) Anderson Creek
❑ (08) Hectors Creek
❑ RA -20M
❑ (02) Averasboro
❑ (09) Johnsonville
❑ RA -20R
❑ (0 3) Barbecue
❑ (10) Lillington
'�91RA -30
❑ (04) Black River
❑ (11) Neill's Creek
❑ RA -40
(0 5) 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...): j�l1
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? El Yes X No
Stream Name(s): r%A
Does this site contain any Flood Zone areas? ❑ Yes 5�1_No; Approximate acreage: Acres
Does this site lie within a Watershed? Yes ❑ No
If applicable, what is the total amount of impervious surfaces?
Were any wetlands observed on the site? ❑ Yes J_No
Project Description
SINGLE FAMILY SUBDIVISIONS COMMERCIAL /MULTIFAMILY /ATTACHED SF
ite 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): Q acres
COMMERCIAL DEVELOPMENTS
Business Type /Description:
Hours & Days of Operation:
Hazardous Materials on Site:
01A,
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 9 No
Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes No
Distance (in feet) to nearest water line: oP.1 SITF-
Distance (in feet) to nearest sewer line: yJ /�
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:
❑ Private Roads KDOT Maintained
Have you received Street Name Pre - Approval? ❑ Yes ZNo
COMMERCIAL/MULTIFAMILY /ATTACHED SINGLE FAMILY
Total Number of Proposed Parking Spaces: !�
Parking Area Surface Material:
Attachments (Must be submitted with application)
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❑
Site Plan
❑
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Master Plan (For ALL phased development)
Lf I
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$500.00
U
_Plat Of Survey
❑
❑
❑ i
❑
Site Plan
❑
Traffic Impact Analysis
❑
❑
Pre-Development Meeting Completed & Materials
❑
❑
❑
I Conceptual Design Plan 4 Copies As Required)
❑
❑
❑
As -built Drawincls Q Copies)
n
n
I—I
Condominium Declaration
Preliminary Soils Report
❑
HOA Documents
$500.00
Outline Development Plan
❑ (PUD)
Restrictive Covenants
Additional Per Lot Fee
Final Soils Report
Street Name Pre-Approval Letter
❑
Traffic Impact Analysis
❑ (PUD)
Street Sign Invoice
Stormwater Management Permit & Plan
Erosion Control Plan
$100.00
Land Use Armlication
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
HlQhway Corridor Overlay Review Fee
$60.00
MULTI - FAMILY SITE PLAN
Per Street Sign Fee $175.00
Site Plan Review Fee: Neighborhood, $250,$400,
Community, or Regional or $1,200
Hi2hway 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, I $250,$400,
Community, or Regional or $1,200
Signatures
The u rsigned applicant hereby certifies that, to the hest of his or her knowledge and bel' all information supplied with this
app' In is true nd jf
Property fwner Sig ature Date Authorized Agent Signature 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.