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applicationX � HTE Tracking Number: Planner: 1I = a • Required Data Date Confirmed Pre - Development ❑ (02) Averasboro ❑ Meeting Completed? (03) Barbecue 6 El (10) Lillington Conceptual Design (04) Black River ❑ (11) Neill's Creek Plans Submitted? ❑ (05) Buckhorn ❑ (12) Stewart's Creek Construction ❑ (06) Duke ❑ (13) Upper Little River Drawings Submitted? ❑ (07) Grove As -Built Plans ❑ Submitted? Owner of Record: Name: SscLJ-H- 544 r, J7�•se,iopw�en�-. /.- Address: 312,8 Gds D f 41* 0 e- City /State /Zip: W i 1,lovJ a5 1JL 17' OX E -mail: Phone: S iq - 6 - a7 Fax: Mobile: Representative: Name: Address City /Sta E -mail: Phone: Fax: Mobile: Developer: { Name: -- -- 1c- /bA rn�. Address: 'D�54 �- City/State/Zip: Uyilleuo ✓'I s lUG)54oZ E -mail: Phone: `I l� `��9- 73 Fax: Mobile: 17 1C! r G��!' Z-1 Engineer /Surveyor: Name: M 14,n W'r11-1 YrS S u"Y /n Address: NCO. Noy City /State /Zip: a� � E -mail: Su�v zr1 ba r4cril Phone: `i1 Fax: Cl iq- Mobile: Jig - a\9/-6597 Property Description PIN(s): q59 ? -I - 26,90, DD"a Acreage: /,)7 Acres Deed Book: Page: Plat Book: Page: Zoning: ❑ Conservation Township: ❑ (01) Anderson Creek ❑ (08) Hectors Creek ❑ RA -20M ❑ (02) Averasboro ❑ (09) Johnsonville Z RA -20P (03) Barbecue 6 El (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): "per Does this site contain any Flood Zone areas? ❑ Yes o; 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 CK 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: I RAID-,o A t­:A_ 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: [2 Public (Harnett County) Sewer: ❑ Public (Harnett County) Electrical: ❑ Above Ground ❑ Private (Well) JZ Private (Septic System) ® Underground Have all of the Harnett County Public Utilities requirements been completed? ❑ Yes N No Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes ❑ No Distance (in feet) to nearest water line: 'I0 Distance (in feet) to nearest sewer line: 4///4 Traffic Analysis Impact Has a Traffic Impact Analysis (TIP) been done for this development? El Yes � No Please list any anticipated circulation improvements that will accompany the development: 1. 2. 3. Characteristics of road(s) within development: ❑ Private Roads M DOT Maintained Have you received Street Name Pre- Approval? 0 Yes ❑ No COMMERCIAL /MULTIFAMILY /ATTACHED SINGLE FAMILY Total Number of Proposed Parking Spaces: Parking Area Surface Material: Attachments (Must be submitted with application) 0� 0 Q(n Li w F-4 < ►— 5 g U Z �g ��g U) CL ❑ ❑ 0� z 0a �W H�z a��g a =�� oU) wag �(naa (nu- a U 2u-rL Master Plan (For ALL phased development) Li Li Plat Review Fee $500.00 Li Plat Of Survey ❑ ❑ ❑ ❑ Site Plan MAJOR SUBDIVISION; FINAL PLAN /PLAT ❑ ❑ Pre-Development Meeting Completed & Materials ❑ Per Street Sign Fee ❑ ❑ Conceptual Design Plan 4 Copies As Required) ❑ COMMERCIAL SITE PLAN ❑ ❑ As -built Drawinqs (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 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 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, Communily, or Regional $250,$400, or 1 200 Signatures The undersign plicant hereby certifies that, to the hest of his or her knowledge z alga do s tru ccurate: � —O Pr erty Owner Signature Date / Authorized Ac "I 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.