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applicationtL U»a, Harnett County, North Carolina Harnett Planning Department C T Y 108 E. Front Street /P.O. Box 65, Lillington, NC 27546 k t . r <o f A Phone: (910) 893 -7525; opt. 4 /Fax: (910) 814 -6459 Development a. •' • Phase (If applicable): Sec_+io0 1 , 'Pha e' t HTE Tracking Number: Planner: 6 ,� =am • • El Major Subdivision Preliminary Plan /Plat El Commercial Site Plan Major Subdivision Final Plan /Plat ❑ Multi - Family Site Plan Required Data Date Confirmed Pre - Development Address: ' 2 I)hi ❑ Meeting Completed? 90 City /State /Zip: E -mail: Conceptual Design Phone: C11 D — Lo -6, ❑ Plans Submitted? Fax: Mobile: Construction Representative: ❑ Drawings Submitted? Name: du Address: As -Built Plans City /State /Zip: ❑ Submitted? E -mail: v ®Ct� Phone: Owner of Record: Developer: Name: 'o -_ LL Name: Address: ' 2 I)hi _e S . Address: City /State /Zip: 90 City /State /Zip: E -mail: E -mail: Phone: C11 D — Lo -6, Phone: Fax: o g Fax: Mobile: Mobile: Representative: Engineer / Surveyor: Name: Name: du Address: Address: t(D Cc- G 31(D City /State /Zip: City /State /Zip: SD E -mail: E -mail: v ®Ct� Phone: Phone: R Fax: Fax: Mobile: Mobile: Property escri do PIN(s): 0 � 1 `7 u Acreage: Acres Deed Book: (L416 Page Plat Book: Page: Zoning: ❑ Conservation Township: (01) Anderson Creek ❑ (08) Hectors Creek ❑ RA -20M (02) Averasboro F-1 (09) Johnsonville �] RA -20R ❑ (0 3) Barbecue ❑ (10) Lillington ❑ RA -30 ❑ (04) Black River ❑ (11) Neill's Creek ❑ RA -40 ❑ (0 5) Buckhorn ❑ (12) Stewart's Creek ❑ Commercial ❑ (06) Duke ❑ (13) Upper Little River ❑ Industrial ❑ (0 7) Grove ❑ Office & Institutional Land Use: ❑ Agriculture & Low Density Residential ❑ Low Density Residential ❑ Medium Density Residential N 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: COMMERCIAL DEVELOPMENTS Business Type /Description: Hours & Days of Operation: Hazardous Materials on Site: Utilities' Impact Water: ® Public (Harnett County) Sewer:rR Public (Harnett County) Electrical: ❑ Above Ground ❑ Private (Well) ❑ Private (Septic System) Underground Have all of the Harnett County Public Utilities requirements been completed? ❑ Yes b4 No Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes 14 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) Environmental esclrl 1 Does this site contain any perennial, intermittent streams or rivers? ❑ Yes No Stream Name(s): Does this site contain any Flood Zone areas? ❑ Yes M 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 scr i ti SINGLE FAMILY SUBDIVISIONS COMMERCIAL/MULTIFAMILY /ATTACHED SF C. Site Built ❑ Masonry Structure ❑ Modular Homes ❑ Aluminum Structure ❑ Singlewide Manufactured Homes ❑ Frame Structure ❑ Doublewide Manufactured Homes ❑ Single Story Structure ❑ Multiple Story Structure t —7 Total number of lots /units: > �Jc� 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:rR Public (Harnett County) Electrical: ❑ Above Ground ❑ Private (Well) ❑ Private (Septic System) Underground Have all of the Harnett County Public Utilities requirements been completed? ❑ Yes b4 No Have inspections been done to meet Public Utilities and Fire Marshal requirements? ❑ Yes 14 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) 0 Ore O U Q U) w H Z g H 4 ce .7 ❑ H ❑ W 0- , >- m o W Z Q o� �z � �z =�� Q�Z o n �a � 2: (n a a_ 2: u) u_ a U CL Master Plan (For ALL phased development ) U Li u LJ ❑ Plat Of Survey ❑ ❑ ❑ ❑ El ❑ Site Plan ❑ (PUD> Planning Review Fee 100.00 ®cam . ®O t o0 OO ❑ Per Street Sign Fee ❑ Pre-Development Meeting Completed & Materials ❑ El ❑ ❑ COMMERCIAL SITE PLAN Conceptual Design Plan 4 Copies As Required) ❑ El ❑ Per Street Sign Fee $175.00 ❑ Traffic Impact Analysis As -built Drawings (3 Copies) ❑ I ❑ Street Sign Invoice ❑ Condominium Declaration MAJOR SUBDIVISION PRELIMINARY PLAN /PLAT , Plat Review Fee u Preliminary Soils Report ❑ Additional Per Lot Fee El ❑ HOA Documents El $75.00 Outline Development Plan ❑ (PUD> Planning Review Fee 100.00 ®cam . ®O t o0 OO Per Street Sign Fee Restrictive Covenants ❑ El Final Soils Report El COMMERCIAL SITE PLAN ❑ Street Name Pre-Approval Letter El MULTI - FAMILY SITE PLAN Per Street Sign Fee $175.00 Traffic Impact Analysis ❑ (PUD) 0 Street Sign Invoice or $1,200 $60.00 r, Stormwater Management Permit & Plan Erosion Control Plan Land Use Application __ AM14..i®■ - -- -- - 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 ®cam . ®O t o0 OO Per Street Sign Fee $175.00 Per Lot Recreation Fee $500.00 COMMERCIAL SITE PLAN Site Plan Review Fee: Neighborhood, $250,$400, community, or Regional 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, $250,$400, Community, or Regional Hi2hway Corridor Overlay Review Fee or $1,200 $60.00 ATTACHED SINGLE FAMILY SITE PLAN Per Street Sign Fee due upon Final submittal 175.00 Site Plan Review Fee: Neighborhood, $250,$400, Community, or Re ional or 11,200 Signatures The undersigned applicant her y c rtifies that, to the hest of his or her knowledge and belief, all information supplied with this Ott appli ru a te' Prope y Owner Signature Date e'er 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 DRS will not review the application.