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application�s s Wit► o. DEVELOPMENT BOARD 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 Development r Phase applicable): ���' ®�t11tr11t Type: El Major Subdivision Preliminary Plan /Plat ❑ Commercial Site Plan ❑ Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan HTE Tracking Number: Planner: Required Data Date Confirmed Pre - Development Phone: ❑ (02) Averasboro Meeting Completed? ❑ (03) Barbecue Mobile: Conceptual Design Re resentative: Name: 4n' l �, _J ❑ Plans Submitted? L,2Ke /L/L A5Y-0 Phone: /p •- / Construction Fax: ❑ (07) Grove Drawings Submitted? As -Built Plans Submitted? Owner of Record: Name: Township: Address: f :) City /State /Zip: �C& v E -mail: qv -erv­e o Phone: ❑ (02) Averasboro Fax: ❑ (03) Barbecue Mobile: ❑ (04) Black River Re resentative: Name: 4n' l �, _J RA -40 Address: P v L City /State /Zip: E -mail: L,2Ke /L/L A5Y-0 Phone: /p •- / 3 i Fax: ❑ (07) Grove Mobile: Developer: Name: Address: City /State /Zip: E -mail: Phone: Fax: Mobile: Engineer /Surveyor: Name: Address: City /State /Zip: E -mail: Phone: Fax: Mobile: Property sri 1 PIN(S): f f % _) _ a7 92v e oe Acreage: ,/, •6Z Acres Deed Book: 1 1 Paae: Plat Book: I I Page: 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 cri Does this site contain any perennial, intermittent streams or rivers? ❑ Yes 2'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 Q No If applicable, what is the total amount of impervious surfaces? Were any wetlands observed on the site? ❑ Yes ['No Project c i i 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 6 ❑ 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: o c % Qua r✓ Hazardous Materials on Site: Utilities' Impact Water: Public (Harnett County) Sewer: ❑ 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: 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 ❑ 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) 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, 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 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.