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applicationHarnett County, North Carolina Harnett Planning Department C 0 U N T Y 108 E. Front Street /P.O. Box 65, Lillington, NC 27546 Phone: (910) 893 -7525; opt. 4 /Fax: (910) 814 -6459 Development Name: � ,��(,,� - n-S Phase (If applicable): Development Type: ❑ Major Subdivision Preliminary Plan /Plat Commercial Site Plan ❑ Major Subdivision Final Plan /Plat Multi - Family Site Plan HTE Tracking Number: Planner: W 0 0"MMMMI 047W mm Required Data Date Confirmed Pre - Development Phone: `� C�(- (o�3�j - 2-ti 13 Meeting Completed? I Mobile: Conceptual Design Representative: Name: Township: Plans Submitted? ❑ Conservation Phone: Construction Fax: ❑ (02) Averasboro Drawings Submitted? ❑ RA -20R ❑ (03) Barbecue As -Built Plans RA -30 ❑ (04) Black River Submitted? RA -40 ❑ (05) Buckhorn Owner of Record- Name: Name: � � �� f M LLL Address: 4i 6 It, 1 City /State /Zip: E -mail: S e 4 Z r� ccy Phone: `� C�(- (o�3�j - 2-ti 13 Fax: I Mobile: Representative: Name: Township: Address: City /State /Zip: E -mail: ❑ Conservation Phone: ❑ (08) Hectors Creek Fax: ❑ (02) Averasboro Mobile: ❑ RA -20R Developer: Name: Address: City /State /Zip: E -mail: Phone: Fax: Mobile: Engineer /Surveyor: Name: 1 Address: 1 i i II City /State /Zip: ' LtIR I Z. ia% E -mail: k' Y @ c6et4 Phone: 1 b411 Fax: Mobile: Property Description PIN(s): � � - (�- �� �a F �,pL Acreage: 5 b? Acres Deed Book: 137 6 1 Page: 1 2-11 1 Plat Book: I I Page: Zoning: Township: ❑ Conservation ❑ (01) Anderson Creek ❑ (08) Hectors Creek ❑ RA -20M ❑ (02) Averasboro ❑ (09) Johnsonville ❑ RA -20R ❑ (03) Barbecue ❑ (10) Lillington RA -30 ❑ (04) Black River f4 (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 0 No Stream Name(s): Does this site contain any Flood Zone areas? ❑ Yes [)� No; Approximate acreage: Acres Does this site lie within a Watershed? �U Yes ❑ No If applicable, what is the total amount of impervious surfaces? 4,3 -I1r) Were any wetlands observed on the site? ❑ Yes � 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 FV1 Multiple Story Structure Total number of lots /units: J q� Total acreage of proposed open space (if applicable): t�1, acres COMMERCIAL DEVELOPMENTS Business Type /Description: Hours & Days of Operation: Hazardous Materials on Site: Utilities' Impact Water: KrPublic (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? Vyes ❑ No Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes Clio Distance (in feet) to nearest water line: 'Of Distance (in feet) to nearest sewer line: 3'9 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: 2"'Private Roads ❑ DOT Maintained ,�.. Have you received Street Name Pre - Approval? El Yes D1<0 COMMERCIAL /MULTIFAMILY /ATTACHED SINGLE FAMILY Total Number of Proposed Parking Spaces: Parking Area Surface Material: �� 1 + � ,4,K6 C ,canc►^� Attachments (Must be submitted with application) oz� z0 Qtn w �zg C - Z 2g i - M > a > a w a , D Z r1 mW O D J\ < Z w I- H ­1 Fee _j �(ndd 2:()u_a U LL CL Master Plan (For ALL phased development) ❑ ❑ Y Plat Of Survey ❑ ❑ ❑ ❑ Site Plan ❑ Pre-Development Meeting Completed & Materials ❑ ❑ ❑ Conceptual Design Plan 4 Copies As Required) ❑ ❑ ❑ As -built Drawinqs (3 Copies) n n 1-1 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 Item MAJOR SUBDIVISION PRELIMINARY PLAN /PLAT Plat Review Fee Additional Per Lot Fee Fire Marshal Review Fee MAJOR SUBDIVISION FINAL PLAN /PLAT Planning Review Fee Per Street Sign Fee Per Lot Recreation Fee COMMERCIAL SITE PLAN Site Plan Review Fee: Neighborhood, Community, or Regional Highway Corridor Overlay Review Fee MULTI - FAMILY SITE PLAN Per Street Sign Fee Site Plan Review Fee: Neighborhood, Community, or Regional Highway Corridor Overlay Review Fee ATTACHED SINGLE FAMILY SITE PLAN Per Street Sign Fee (due upon Final submittal) Site Plan Review Fee: Neighborhood, Community, or Regional (PUD) C C (PUD) C C F Fee E •� �� Signatures The undersigned applii ant hereby certifies that, to the hest of his or her knowledge and b f, all information supplied with this applic ) s try��r(d u e: Z3`` Pro rt Owner Signature Date 616orized 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.