applicationHarnett
C O U N T Y
NORTH CAROLINA
Harnett County, North Carolina
Planning Department
108 E. Front Street /P.O.
Phone: (910) 893 -7525;
Box 65, Lillington, NC 27546
opt. 4 /Fax: (910) 814 -6459
Development Name: ail f � y� � I)V
Phase (If applicable): ,�,r
Development Type: El Major Subdivision Preliminary Plan /Plat U✓ Commercial Site Plan
❑ Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan
HTE Tracking Number:
Planner:
• • • •
Required Data
Date
Confirmed
Pre - Development
Address:
Address:
Meeting Completed?
City /State /Zip:
E -mail: Y r
Conceptual Design
Phone:
Phone:
Plans Submitted?
Fax:
Mobile:
Construction
❑ (02) Averasboro
Re resentative:
A'
Drawings Submitted?
Name:
Name:
As -Built Plans
Address:
❑
Submitt ed?
E -mail: a
E -mail:
Owner of Record:
Developer:
Name: 1
Name:
Address:
Address:
City /State /Zip: ti Yi `
City /State /Zip:
E -mail: Y r
E -mail:
Phone:
Phone:
Fax:
Fax:
Mobile:
Mobile:
❑ (02) Averasboro
Re resentative:
A'
Engineer /Surveyor:
Name:
Name:
Address: 1>=6
Address:
City /State /Zip: f,) Cj(
City /State /Zip:
E -mail: a
E -mail:
Phone: Cils—
Phone:
Fax: cl IE) _ L4 q (4p-- 0LO-\ 3
Fax:
Mobile: 0l10-3C)q ® lajpA5
Mobile:
Property Description
PIN(s): Acreage: I6 > jam, Acres
Deed Book: I
(°?j, I
I Pager
Plat Book:
I Page:
Zoning:
Township:
❑ Conservation
❑ (01) Anderson Creek
❑ (08) Hectors Creek
❑ RA -20M
❑ (02) Averasboro
❑ (09) Johnsonville
DID A -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:
❑ 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? ❑ 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?
Were any wetlands observed on the site? ❑ Yes ❑ No
Project Description
SINGLE FAMILY SUBDIVISIONS
❑ Site Built
❑ Modular Homes
❑ Singlewide Manufactured Homes
❑ Doublewide Manufactured Homes
Total number of lots /units: f
Total acreage of proposed open space (if applicable):
COMMERCIAL DEVELOPMENTS
Business Type /Description:
Hours & Days of Operation:
Hazardous Materials on Site:
COMMERCIAL ULTIFAMILY /ATTACHED SF
❑ Ma ry Structure
luminum Structure
❑ Frame Structure
❑ Single Story Structure
❑ Multiple Story Structure
acres
tilltios' Impact
Water: M Public (Harnett County) Sewer: ublic (Harnett County) Electrical: F-1 Above Ground
F-1 Private (Well) 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:
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
Total Number of Proposed Parking Spaces:
Parking Area Surface Material:
FAMILY
Attachments (Must be submitted with application)
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Master Plan (For ALL phased development)
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$500.00
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Plat Of Survey
❑
❑
❑
❑
Site Plan
Fire Marshal Review Fee
❑
❑
Pre-Development Meeting Completed & Materials
❑
❑
❑
Conceptual Design Plan 4 Copies As Required)
❑
❑
❑
As -built Drawings (3 Copies)
❑
❑
El
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
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 i
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,
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:
Property Owner Signature Date orized 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.