applicationNORTH CAROLINA
DEVELOPMENT REVIEW BOARD
Harnett Count Y, 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
1evelopment
-1-hase (If applicable):
Development Ty
HTE Tracking Number:
Planner:
• • •
E] Major Subdivision Preliminary Plan /Plat ❑Commercial Site Plan
❑ Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan
Required Data
Date
Confirmed
Pre - Development
❑ RA -20M
❑ (02) Averasboro
Meeting Completed?
❑ (03) Barbecue
0
RA -30
Conceptual Design
❑ RA -40
Z (05) Buckhorn
Plans Submitted?
❑ (06) Duke
❑ Industrial
Construction
Drawings Submitted?
As -Built Plans
Submitted?
Mobile: -(;2 15c t;� dc?
Developer:
Name:
Address:
City /State /Zip:
E -mail:
Phone:
Fax:
Mobile:
Engineer /Surveyor:
Name:
Address:
City /State /Zip:
E -mail:
hone:
Fax:
Mobile:
Property Description
PIN(s): ()G C1 � - ) S } 13 • 0 ;t� 0- Acreage: Acres
Deed Book: , Page: I L4 Plat Book: IF q q Page:
Zoning:
Township:
❑ Conservation
❑ (01) Anderson Creek
❑ RA -20M
❑ (02) Averasboro
❑ jRA -20R
❑ (03) Barbecue
0
RA -30
04) Black River
❑ RA -40
Z (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 Description
Does this site contain any perennial, intermittent streams or rivers? ❑ Yes 044,0
Stream Name(s):
Does this site contain any Flood Zone areas? ❑� Ye,,�s-� ED--N-b_; Approximate acreage: Acres
Does this site lie within a Watershed? El Yes to
If applicable, what is the total amount of impervious surfaces?
Were any wetlands observed on the site? ❑ Yes U-N/O
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:
Utilities' Impact
Water: ❑ Public (Harnett County) Sewer: F-1 Public (Harnett County) Electrical: ❑ Above Ground
❑ 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: P(2
Traffic Analysis Impact
Has a Traffic Impact Analysis (TIP) been done for this development? es ❑ No
Please lis any anticipated circulation improvements that will accompany the development:
1. q
2.
3.
Characteristics of roadd(s),within development:
❑ Private Roads L960T 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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250.00
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Master Plan (For ALL phased development) LJ Li U
Plat Of Survey ❑ ❑ ❑
Site Plan ❑
Pre-Development Meeting Completed & Materials ❑ IZI ❑
Conceptual Design Plan 4 Copies As Required) El ❑
As -built Drawings (3 Copies) ❑ ❑ ❑
Condominium Declaration
$250.00
Preliminary Soils Report
❑
HOA Documents
Additional Per Lot Fee
Outline Development Plan
❑ (PUD)
Restrictive Covenants
$75.00
Final Soils Report
250.00
Street Name Pre-Approval Letter
❑
Traffic Impact Analysis
❑ (PUD)
Street Sign Invoice
Stormwater Management Permit & Plan
$500.00
Erosion Control Plan
Land Use Application
$250,$400,
or $1,200
Item Fee
MAJOR SUBDIVISION PRELIMINARY PLAN /PLAT
$250.00
Plat Review Fee
$500.00
Tender detail
OR CHECK PAYHER
Additional Per Lot Fee
$20.00
1000 E50.00
Fire Marshal Review Fee
$75.00
MAJOR SUBDIVISION FINAL PLAN /PLAT
250.00
Planning Review Fee
$100.00
THANK YOU FOR YOUR
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 submi
$175.00
Site Plan Review Fee: Neighborhood,
Community, or Regional
$250,$40C
or $1,200
HARNETT COUNTY CASH RECEIPTS
# CUSTOMER RECEIPT * **
Datr 6 /i06 �4 51 Type, CP Drawer. 1
Receipt nos 358908
Year Hunber
103E OARRIDGE0 DUNCAN RD Amount FU€ OAY VARINA HC 27,536
D1 Db - PERHIT FEES
SITE PLAN REV
$250.00
FVAA SPORTS INC
Tender detail
OR CHECK PAYHER
Total tendered
Total
1000 E50.00
payment
$250.00
Trans dates 6/16/14
250.00
Tide; 15.21.22
THANK YOU FOR YOUR
PAYMENT **
Signatures
The undersigned applicant he eby certifies that, to the hest of his or he knowledge and benei an
a icati ue an a cur te:
nZ4 op s
Propert wner igna ur Date A 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.