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r� <br />(PLEASE PRINT OR TYPE — W4K ONLY) Attachment 1 <br />APPLICATION FOR CLASS A SPECIAL USE PERMIT <br />ORANGE COUNTY BOARD OF COMMISSIONERS <br />DATE: / <br />APPLICATION NUMBER: PD- - <br />I (We) request a Class A Special Use Permit as provided for in Article of the Orange <br />County Zoning Ordinance for Modification to an existing Planned Development - Special Use <br />Permit for the Heartwood at Blackwood Mountain by removing Lot 31 R from the project and <br />rezoning the parcel entirely from PD -H -R1 (Planned Development) to Rural Buffer (RB) <br />The following information is provided in support of the request: <br />A. PROPERTY INFORMATION: <br />1. Street Address or Location: Pathway Court (no address) PIN 9871 -54 -9182 <br />2. Orange County Tax Map Block Lot(s) Township <br />3. Zoning District(s): PD -H -R1 (Planned Development Housing Rural Residential) <br />4. Lot/Parcel Size. 4.15 acres or square feet <br />5. Number of Existing Buildings: Zero Gross Floor Area: square feet <br />6. Number of Proposed Buildings: Zero Gross Floor Area square feet <br />7. Water Supply: Public (specify) X Community Individual <br />8. Wastewater Disposal: Public (specify) Community. Individual <br />9.a School District: Chapel Hill/Carrboro 9.b Fire District: New Hope <br />10. General Land Uses in Area: Single- family, institutional (i.e school), farm <br />11. Critical Areas: Stream /Drainageway; Flood Prone Area; <br />Watershed (specify) ; Historic Site; <br />Other (Explain): <br />B. SITE PLAN INFORMATION: <br />Twenty -six (26) copies of a Site Plan, prepared by a registered North Carolina surveyor or <br />engineer, are provided as required by Article 8.8 and which contain the following <br />information: <br />North point, scale, and date. <br />Extent of area to be developed. <br />Locations and widths of all easements and right -of -way within or adjacent to the <br />site. <br />Location of all existing and proposed structures on the site. <br />Location of all areas on the site subject to flood hazard or inundation as shown on <br />flood maps or soils maps. <br />Location of all water courses on the site, including direction of flow. <br />(PLEASE COMPLETE REVERSE SIDE) <br />