application• •
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 Nam
Phase (If applicable).
Development T
HTE Tracking Number:
Planner:
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❑ Major Subdivision Preliminary Plan /Plat ® Commercial Site Plan
❑ Major Subdivision Final Plan /Plat ❑ Multi- Family Site Plan
Required Data
Date
Confirmed
Pre - Development
Address: ��S'1'- ��� yZ
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-Meeting Completed?
V'Z �l f"C)City /State /Zip:
1�
Conceptual Design
Phone:
fJ'2 -7 Phone:
Plans Submitted?
Fax:
Mobile: 741' %
Construction
Representative:
Engineer /Surveyor:
Drawings Submitted?
Name:
Address:
As -Built Plans
City /State /Zip:
City /State /Zip:
Submitted?
E -mail:
Phone:
owner or gecora•
Name: �/4'r �
Developer•
Name:
...-
Address: ��S'1'- ��� yZ
Address:
City /State /Zip: � c
V'Z �l f"C)City /State /Zip:
E -mail: f�',W �I-� 2..
,y.a,Ls co -- E -mail:
Phone:
fJ'2 -7 Phone:
Fax:
Fax:
Mobile: 741' %
Mobile:
Representative:
Engineer /Surveyor:
Name: sa,n a
Name:
Address:
Address:
City /State /Zip:
City /State /Zip:
E -mail:
E -mail:
Phone:
Phone:
Fax:
Fax:
Mobile:
Mobile:
Property Description
PIN (s): %;?3.a)o
Acreage: �3, Acres
Deed Book:
Page:
Plat Book:
C°_ C
Page:
Zoning:
Township:
❑ Conservation
❑ (01) Anderson Creek ❑ (08) Hectors Creek
❑ RA -20M
❑ (02) Averasboro ❑ (09) Johnsonville
❑ RA -20R
❑ (03) Barbecue ❑ (10) Lillington
0 RA -30
❑ (04) Black River ❑ (11) Neill's Creek
❑ RA -40
0 (05) Buckhorn ❑ (12) Stewart's Creek
❑ Commercial
❑ (06) Duke ❑ (13 ) Upper Little River
❑ Industrial
El (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...):
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? 4 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? X Yes ❑ No
If applicable, what is the total amount of impervious surfaces?
Were any wetlands observed on the site? ❑ Yes X 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:
Total acreage of proposed open space (if applicable): 1114 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) X Private (Septic System) ❑ Underground
Have all of the Harnett County Public Utilities requirements been completed? M Yes ❑ No
Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes K No
Distance (in feet) to nearest water line: /,Sreo'
Distance (in feet) to nearest sewer line: 4,ej
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 ❑ DOT Maintained
Have you received Street Name Pre - Approval? ❑ Yes ❑ No
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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Master Plan (For ALL phased development)
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Plat Of Survey
❑
❑
❑
❑
Site Plan
I I
❑
Pre-Development Meeting Completed & Materials
❑
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❑
Conceptual Design Plan 4 Copies As Required)
❑
❑
❑
As -built Drawings (3 Copies)
❑_
_ ❑
❑
Condominium Declaration
Preliminary Soils Report
HOA Documents
Outline Development Plan
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)
(PUD)
Item Fee Subtotal Total Due
Plat Review Fee $500.00
Additional Per Lot Fee $20.00
Fire Marshal Review Fee $75.00
Planninu Review Fee $100.00
Per Street Sign Fee $175.00
Per Lot Recreation Fee $500.00
Site Plan Review Fee: Neighborhood, $250,$400, c
Community, or Regional or $1,200 JU
Hiahwav Corridor Overlav Review Fee $60.00
Per Street Sign Fee $175.00
Site Plan Review Fee: Neighborhood, $250,$400,
Community, or Regional or $1,200
Hiahwav Corridor Overlav Review Fee $60.00
Per Street Sign Fee (due upon Final submittal) $175.00
Site Plan Review Fee: Neighborhood, $250,$400,
Community, or Regional 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
applica /t / is true and accyaat *
Property Owner Signature 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 DRS will not review the
application.