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applicationt 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 - - applicable): Development Type: HTE Tracking Number: Planner: ❑ Major Subdivision Preliminary Plan /Plat W Commercial Site Plan ❑ Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan Owner of Record: Name: V I C yrc`�icln� Address: S City /State /Zip: E -mail: Phone: Sod -- 326 -U T�P'3 Fax: Mobile: Representative: Required Data Date Confirmed Pre - Development Deed Book: 122 (2 Meeting Completed? -3 (� Plat Book: Conceptual Design Page: ❑ Plans Submitted? Township: ❑ Conservation Construction ❑ RA -20M ❑ (02) Averasboro ❑ (09) Johnsonville Drawings Submitted? ❑ (03) Barbecue ❑ (10) Lillington Kv RA -30 As -Built Plans ❑ RA -40 ❑ (05) Buckhorn ❑ (12) Stewart's Creek Submitted? ❑ (06) Duke © (13) Upper Little River ❑ Industrial Developer: Name: Address: City /State /Zip: E -mail: Phone: Fax: Mobile: Engineer /Surveyor: Name: Address: City /State /Zip: E -mail: Phone: Fax: Mobile: Property Description PIN (s) : Acreage: Acres Deed Book: 122 (2 Page: -3 (� Plat Book: 9 w (, Page: Zoning: Township: ❑ Conservation ❑ (01) Anderson Creek ❑ (08) Hectors Creek ❑ RA -20M ❑ (02) Averasboro ❑ (09) Johnsonville ❑ RA -20R ❑ (03) Barbecue ❑ (10) Lillington Kv 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 ❑ Municipal Growth ❑ Other: Unique Features (Cemeteries, etc...): Environmental Description Does this site contain any perennial, intermittent streams or rivers? ❑ Yes 5j�No Stream Name(s): Does this site contain any Flood Zone areas? ❑ Yes f] 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 [a 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): acres COMMERCIAL DEVELOPMENTS Business Type /Description: Hours & Days of Operation: Hazardous Materials on Site: V' \V D I`, - - vc t I `S J? Z >- O� z O Q (!) w Q� Z 1­4 g Q J H > > w a O_j J O Z w Ln z : : < ) co < : - o :D 57 (naa (nl1.a U u_a Master Plan (For ALL phased development) U LJ LJ Plat Of Survey ❑ ❑ ❑ ❑ Site Plan ❑ ❑ Pre-Development Meeting Completed & Materials ❑ ❑ ❑ 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 Aoolication (PUD) (PUD) Item Fee Subtotal Total Due Plat Review Fee $500.00 Additional Per Lot Fee $20.00 Fire Marshal Review Fee $75.00 Planning Review Fee $100.00 Per Street Sign Fee $175.00 Per Lot Recreation Fee $500.00 Site Plan Review Fee: Neighborhood, $250,$400, Community, or Regional or $1,200 Hiqhwav 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 Highwav 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 ap lication istrue and accurate: / Propert wner 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 DRB will not review the application.