applicationEl
NORTH CAROLINA
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
- • . i i -
HTE Tracking Number:
Planner:
V7,1 •
❑ Major Subdivision Preliminary Plan /Plat ❑ Commercial Site Plan
❑ Major Subdivision Final Plan /Plat ❑ Multi- Family Site Plan
Required Data
Date
Confirmed
Pre - Development
❑ (01) Anderson Creek
❑ (08) Hectors Creek
Meeting Completed?
❑ (02) Averasboro
❑ (09) Johnsonville
Conceptual Design
[x(03) Barbecue
❑
Plans Submitted?
❑ (04) Black River
❑ (11) Neill's Creek
Construction
❑ (05) Buckhorn
❑ (12) Stewart's Creek
Drawings Submitted?
❑ (06) Duke
❑ (13) Upper Little River
As -Built Plans
❑ (07) Grove
Submitted?
Mobile: Wf .x°.51, ' -r �l
Developer•
Name:
Address:
City /State /Zip:
E -mail:
Phone:
Fax:
Mobile:
Engineer /Surveyor:
Name:
Address:
City /State /Zip:
E -mail:
Phone:
Fax:
Mobile:
Property Description
PIN(s): --7 1 7 , , C) C, Acreage: Acres P
Deed Book: I I Paqe: I I Plat Book: Page:
Zoning:
Township:
❑ Conservation
❑ (01) Anderson Creek
❑ (08) Hectors Creek
❑ RA -2oM
❑ (02) Averasboro
❑ (09) Johnsonville
-20R
[x(03) Barbecue
❑ (10) Lillington
❑ RA -30
❑ (04) Black River
❑ (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
El Low Density Residential
❑ Medium Density Residential
❑ Compact Mixed Use
❑ Rural Development Node
❑ Conservation
❑ Municipal Growth
Unique Features (Cemeteries, etc...):
Adjoining Agricultural Uses:
❑ Cattle
❑ .reps (Nursery or Row Crops)
L_�'Equestrian
❑ Hog
❑ Poultry
❑ Voluntary Agricultural District
❑ Other:
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Master Plan (For ALL phased development)
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Plat Of Survey
❑
❑
❑
❑
Site Plan
❑_
Pre-Development Meeting Completed & Materials
❑
❑
❑
Conceptual Design Plan 4 Co ies As Required)
❑
❑
❑
As -built Drawings (3 Copies)
❑
❑
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
(PUD)
(PUD)
Ttam Fee Subtotal Total Due
Plat Review Fee $500.00
Additional Per Lot Fee $20.00
Fire Marshal Review Fee $75.00
Plannin2 Review Fee $100.00
Per Street Sign Fee 8 59 00
Per Lot Recreation Fee $500.00
Site Plan Review Fee: Neighborhood, $250,$4001
Community, or Regional or $1,200 D
Hiahwav Corridor Overlay Review Fee $60.00
Per Street Sign Fee $175.00
Site Plan Review Fee: Neighborhood, $250,$400,
Community, or Regional or $1,200
Hiahwav Corridor Overlay Review Fee $60.00
Per Street Sign Fee (due upon Final submittal) $175.00
Site Plan Review Fee: Neighborhood, $250,$400,
Community, or Regional 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
applieat' n is true and accurate:
/if Z
Pr perty Owner Sig kure 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.