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applicationHarnett County, North Carolina Harnett Planning Department C 0 U N T Y 108 E. Front Street/P.O. Sox 65, Lillington, NC 27546 Phone: (910) 893 -7525; opt. 4 /Fax: (910) 814 -6459 Development Name: Phase (I€ applicable): Development Type: HTE Tracking number: Planner: ��.• ai a_ 'U . .r jib' � S 0 Major Subdivision Preliminary Plan /Plat t Commercial Site Plan 0 Major Subdivision Final Ptan /Plat C©1 Multi- Family Site Plan Required Data Date Confirmed Pre - Development Address: I nc_ I El Meeting Completed? : E -mail Comr_ptual Design Phone: T(Ct. Q Plans Suhhatitteda Mobile: Construction Representative; El Dra ' Submitted? Address: An -built Plmes City /State /zip: Submtited? Phone: Owner of Record; Name: 'rx i- C�. S LL-C, Address: I nc_ I C> k iS2 City/State/Zip: : E -mail Phone: T(Ct. - Fax: Mobile: Representative; Name: Address: City /State /zip: E -mail: Phone: Fax: Mobile: Developer: {a� Name: Address: Ayup City/State/Zlp: Eaf 4# fCxii tIf C Zr i E -mail: Phone:Gtt� tt33�'�tZk� Z7 Fax: Mobile: Enoineerlsurv,�yor: Name: PCed Ll� Address. (tt3 CL, City /State /zip: {u,a,11c,h 1iC1 PS fNL 2$J E -mail: Phone: Fax: Mobile: Property Description PIN(s): Acreage: Acres Deed Book: I I Page: I I Plat Book: 1 1 Paae: i I Conservation RA -20M RA -20R RA -30 RA-40 Commercial Industrial Office & Institutional Township: ® (01) Anderson Creek © (02) Averasboro ❑ (03) Barbecue ❑ (04) Black River © (05) Suckhorn El (06) Duke ❑ (07) Grove (06) Hectors Creek © (09) Johnsonville L[7 (10) Ullington © (11) Neill's Creek © (12) Stewatfs Creek © (13) Upper Little River Land Use: Adjoining Agricultural Uses: © Agriculture & Low Density Residential D Cattle © Low Density Residential ❑ Crops (Nursery or Row Crops) © Medium Density Residential M Equestrian ❑ Compact Mixed Use © Hog Rural Development Node ❑ Poultry Conservation © Voluntary Agricultural District ❑ Municipal Growth © Other: Unique Features (Cemeteries, etc...): Environmental Description Does this site contain any perennial, intermittent streams or rivers? D Yes K No Stream Name(s): Does this site contain any Flood zone areas? p Yes ® No; Approximate acreage: Acres Does this site lie within a Watershed? Q Yes 1X No If applicable, what is the total amount of impervious surfaces? Were any wetlands observed on the site? p Yes (j No Project Description SINGLE FAMILY SUBDIVISIONS COMMERCIAL /MULT-IFAMILY /ATTACHED SF ❑ Site Built (Masonry Structure ❑ Modular Homes ❑ Aluminum Structure Singiewide Manufactured Homes ❑ Frame Structure [I Doublewide Manufactured Homes (l Single Story Structure [Z Multiple Story Structure Total number of lotsfunits: Total acreage of proposed open space (if applicable): acres COMMERCIAL DEVELOPMENTS Business Type /Description: �RS-�GC T tC 1 eS f i31� Hours & Days of Operation: lCx r �l C ! Ln'. po A\ -- 12. , C.0 Apn Hazardous Materials on Site: Utilities' Impact Water: Public (Harnett County) Sewer:�Public (Harnett County) Electrical: F1 Above Ground Private (Well) Private (Septic System) [underground Have all of the Harnett County Public Utilities requirements been completed? DKYes i] No Have inspections been done to meet Public Utilities and l=ire Marshal requirements? 0 Yes ❑ No Distance (in feet) to nearest water line: t .{0p( -OX Distance (in feet) to nearest sewer line: Zg i T , Traffic Analysis Impact Hasa Traffic Impact Analysis (TIP) been done for this development? ❑ Yes N No Please list any anticipated circulation improvements that will accompany the development: Characteristics of road(s) within development: !(Private Roads ❑ DOT Maintained Have you received Street Name Pre - Approval? XYes 0 No COMMERCIAL/MULTIFAMILY /ATTACHED SINGLE FAMILY Total Number of Proposed Parking Spaces: Z- 4 Parking Area Surface Material: Attachments (Must be submitted with application) Item Fee Subtotal Total Due MAJOR SUBDIVISION PRELIMINARY PLAN /PLAT Plat Review Fee $500.00 Additional Per Lot Fee $20.00 Fire Marshal Review Fee 1$75.00 MAJOR SUBDIVISION FINAL PLAN PLAT Planning Review Fee 1$100,00 Per Street Sign Fee 5175.00 Per Lot Recreation Fee $500.00 COMMERCIAL SITE PLAN 1 Site Plan Review Fee: Neighborhood, Community, or Regional $250,$400, or $1,200 Highway Corridor Overlay Review Fee 1$60.00 MULTI- FAMILY SITE PLAN Per Street Sign Site Plan Review Fee: Neighborhood, Community, or Regional 1$175.00 1 $250,$400, or $1,200 i t ; 1 Highway Corridor Overlay Review Fee 1$60.00 ATTACHED SINGLE FAMILY SrfE PLAN Per Street Sign Fee due upon Final submittal) !1175.00_ -. Site Plan Review Fee: Neighborhood, $250, $400, CornmunU, or Regional or $1,200 Signatures The undersig ap t hereby certifies that, to the hest of his or her knowled an ief, all information supplied with this applicatian d e• // 1 _ Prope ne nature Date Authorized 15e Signature Date This document must be signed by the property owner WA the authorized agent, or a letter of authorization must be provided. All questions provided herein M= be address to prevent the application from being considered incomplete. All documerds required must be submitted. If any of these items are not addressed DNB will ngt review the application.