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applicationww Harnett County, North Carolina Harnett Planning Department C 0 U N T Y 108 E. Front Street /P.O. Box 65, Lillington, NC 27546 NORTH C A R UO ! _ Phone: (910) 893 -7525; opt. 4 /Fax: (910) 814 -6459 Development Name: 8 p.rd % my lA B l 5► tit Phase (If applicable): 6 9 Development e: E] Major Subdivision Preliminary Plan /Plat El Commercial Site Plan ® Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan HTE Tracking Number: Planner: s • Required Data Date Confirmed Pre - Development Address: P_®, ax cij Address: P.3, LA,x S6LI Meeting Completed? 2 City /State /Zip: nm�r�. N c- rl5 �. E -mail: r Conceptual Design Phone: CA 1©- - , Phone: y l ® - - aghBI Plans Submitted? Fax: Mobile: Construction Representative: Enaineer /Surveyor: Drawings Submitted? Name: F- Address: As -Built Plans City /State /Zip: El J Submitted? I Phone: Owner of Record: Developer: Name: The rpge_M LaNd Gwas&p 0,4mi4 n4a %rdhi&er Faiw p1s sName: Zft�wzp 13WS aga Address: P_®, ax cij Address: P.3, LA,x S6LI City /State /Zip: RIC '-I 2 City /State /Zip: nm�r�. N c- rl5 �. E -mail: r E -mail: Phone: CA 1©- - , Phone: y l ® - - aghBI Fax: Fax: Mobile: Mobile: Representative: Enaineer /Surveyor: Name: Name: F- Address: Address: 166 `d. Clark Aactd City /State /Zip: City /State /Zip: %,,", "4rczn, f%C n q b E -mail: E -mail: Phone: Phone: q' ®- Fax: Fax: q`p - g- Mobile: Mobile: i- Property @CI'B l PIN(s): cj 9 r1 _ 3 _ nom® Acreage: Acres -, imm. Plat Book: F-MR01,221111 11M411111111 Zoning: Township: ❑ Conservation ❑ (01) Anderson Creek ❑ RA -20M ❑ (02) Averasboro ® RA -20R ® (03) Barbecue ❑ RA -30 ❑ (04) Black River ❑ RA -40 ❑ (05) Buckhorn ❑ Commercial ❑ (06) Duke ❑ 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...): ❑ (08) Hectors Creek ❑ (09) Johnsonville ❑ (10) Lillington ❑ (11) Neill's Creek ❑ (12) Stewart's Creek ❑ (13) Upper Little River Adjoining Agricultural Uses: ❑ Cattle ❑ Crops (Nursery or Row Crops) ❑ Equestrian ❑ Hog ❑ Poultry ❑ Voluntary Agricultural District ❑ Other: Environmental escri do 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 19 No If applicable, what is the total amount of impervious surfaces? Were any wetlands observed on the site? ® Yes ❑ No Project Description SINGLE FAMILY SUBDIVISIONS COMMERCIAL/MULTIFAMILY /ATTACHED SF K 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: Utilities' Impact- Water: ® Public (Harnett County) Sewer:❑ Public (Harnett County) Electrical: ❑ Above Ground ❑ Private (Well) [1 Private (Septic System) ® Underground 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: Distance (in feet) to nearest sewer line: 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. 2. 3. Characteristics of road(s) within development: ❑ Private Roads ;N 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) Z >- OQ� z O Q (n w LJ Preliminary Soils Report Uz N W Plat Of Survey ❑ HOA Documents ❑ Q z Co a_ QZ W I-Jaz Qtg Q� o� wg �U7dd �U)u- a U �u-a Master Plan (For ALL phased development) Li Plat Review Fee Li LJ Preliminary Soils Report Li Additional Per Lot Fee Plat Of Survey ❑ HOA Documents ❑ ❑ ❑ ❑ Outline Development Plan Site Plan Planning Review Fee ❑ El Pre-Development Meeting Completed & Materials Per Street Sign Fee ❑ ❑ ❑ ❑ Conceptual Design Plan 4 Copies As Required) $500.00 Street Name Pre-Approval Letter ❑ COMMERCIAL SITE PLAN As -built Drawinos (3 Cooies) Traffic Impact Analysis ❑ 1 ❑ I ❑ Highway Corridor Overlay Review Fee Condominium Declaration Plat Review Fee $500.00 LJ Preliminary Soils Report Additional Per Lot Fee ❑ HOA Documents ❑ $75.00 ❑ Outline Development Plan ❑ (PUD) Planning Review Fee $100.00 Restrictive Covenants Per Street Sign Fee ❑ Final Soils Report ❑ Per Lot Recreation Fee $500.00 Street Name Pre-Approval Letter ❑ COMMERCIAL SITE PLAN ❑ Traffic Impact Analysis ❑ (PUD) Highway Corridor Overlay Review Fee Street Sign Invoice Stormwater Management Permit & Plan Erosion Control Plan Land Use ADDlication ReTr Fee Subtotal • - 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 $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, Cornmunity, or Regional I $250,$400, or 11, 200 Signatures The undersigned applicant hereby certifies that, to the hest of his or her knowledge and belief, all information supplied with this application i true and accurate: /''' MAC L � f 1 , 4 L Property Owner Signature ate 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.