Orange County NC Website
APPL' -t4TION FOR CONCEPT PLAN APPROVAL 3 <br /> PLEASE TYPE OR PRINT (INK ONLY) MAJOR SUBDIVISION 2/89 <br /> ORANGE COUNTY <br /> DATE: <br /> SUBDIVISION NAME: tac 12 e c� <br /> LOCATION: Lc_ ` -ci uvN e <br /> OWNER/DEVELOPER/AGENT: ) , ee, <br /> ADDRESS: O ' �-yt, S t' TELEPHONE NO.: <br /> i L <br /> A. SUMMARY INFORMATION: <br /> Orange County Tax Map 13 BLock Lot(s) Z Township [C p a <br /> Zoning District(s): <br /> Total Number of Acres: Phases: <br /> Total Number of Lots: �� Average Lot Size: Z 44 Minimum Lot Size O lsz <br /> Number/Type of Structures: (existing) (proposed) <br /> Lineal Feet in Streets: I/15 O— Acres in Open Space <br /> Water Supply: U-1 -e L�� Public (specify) Community !/ Individual <br /> Wastewater Disposal: kC t%w Public (specify) Community &.-I- Individual <br /> School District: Fire District: <br /> General Land Uses in Area: <br /> Critical Areas: stream/drainageways flood prone areas <br /> watershed (specify) It'O historic sites <br /> other (explain) <br /> B. A Concept Plan shall be drawn in black ink or pencil to a scale of not less than two hundred (200) feet to the <br /> inch. The scale chosen shall be large enough to show all required detail clearly and legibly. The plan shall <br /> ccntain the following information: <br /> A sketch vicinity map showing the The plotted boundaries of the tract from deeds or <br /> <; location of the subdivision in >`•: maps of record and the portion of the tract to be <br /> relation to the existing street or subdivided <br /> a :a <br /> highway system : ''•'''' '' General descriptions of existing and proposed land <br /> Th e total acreage to be subdivided ::: uses within the subdivision and the existing uses <br /> tax map, block and lot number ;ti of land adjoining it, including but not limited to <br /> reference :> readily identifiable easements, burial grounds, <br /> v The proposed street layout within :: existing structures, natural areas, floodplain and <br /> E =ri the subdivision, including travelway watershed boundaries, railroad and street rights- <br /> 41 W 2 and right-of-way widths, and ? of-way, major wood lines, water supply and sewage <br /> �+ O #: connection to existing streets '•`:'::disposal lines, and storm drainage facilities which <br /> The proposed arrangement of lots can be determined from aerial photographs, maps of <br /> . <br /> ++ k�+ within the subdivision, including .*-:record, State/Federal resource maps, and local <br /> size and number -planning documents <br /> ' `' ` The name, address and telephone Scale, approximate north arrow and date of plat <br /> i::v:::; :;^ number of the subdivider or owner preparation <br /> p ponsibLe for / Name of subdivision <br /> �C Q! ...... .r.: and the arson res y :c��i��.�:c'>� <br /> the subdivision design ��',•-><`' Sixteen copies of the Concept Plan <br /> V y One copy of the sppr Hate Orange :.••.•. <br /> ounty Tax Map <br /> APP CANT'SSSIGNATURE OWNER'S SIGNATURE <br /> I - r2 <br /> DATE DATE <br />