Orange County NC Website
Browse       Search
-118— <br />11AFT <br />APPLICATION FOR SITE PLAN APPROVAL <br />U N U i?:,) N G- ii A M FA-z:A LA t—( 2v1 I Stfir "*1 trPI - <br />JPpgfVli7USt,T Je140 JVVAS 1W, � �_104011r, ;FDATE: 2 3 •�N►�2� Zb� <br />PROJECT NAME--------------------------------------------------- <br />-------------_-- --- - -- <br />LOCATION: I �I -0 ,_�YGIi�]Q,�,G Gt'i1Gl - 6-OI/v 6 q'- �-Gl�i _ -� _ ---- - - - - -- <br />---------- ----------- --- - - -- -- ----- _- - - - - -- <br />OWNER /DEVELOPER: i V_ rn - -v -i v ny�--4-!! )- ------ —,-- --------- ------ , <br />-, <br />r <br />I() iii D)� - -- �_ �2_i� Gib_ _GI4�d.! G- PHONE: C_q --------------- ( 10�' <br />ADDRESS: _-- - - - - -- � - - -- -- Z7�1 `f <br />AGENT /CONTACT: ,G -- -_ ( q I °I D 9& 2• cl J Q `f <br />piVt°C 'DY_o_fjE !c; liHcS Gt►7rriN �1 PHONE: ------------------- - - - - -- <br />i--------- - - - - -- J <br />A. SUMMARY INFORMATIONN1 <br />Orange County Tax Map A iZ? Block --- �-� _ Lot(s) Twp --- - - - - -- --------------------- <br />Zoning District(s): On site ________- -_ and Adjacent ______'_`t'- =-------------- - - - - -- <br />.�� -- _ - - - -- = � <br />5b �5-------------------- Phases _ - - - - -` ---------------------- <br />Total Acreage: _..__.._____.._-___-_- <br />Nu m ber /Typ S��'4�r- ----------------- <br />e of Structures: (existing) ��2'- `- t---- -- - - - - -- <br />(proposed) G�a__i C6� _St�Fe, ------------ <br />Water Supply: _ __ _ -___ ___- Public - Community - __- ______- ._ - -- Individual <br />11'�tt __ _ --------------- - -- <br />Fire District - -- — _ SS --- - - - - -- --------------------- - - - - -- ----- --------------------- <br />Adjacent Land Uses _ -_= A— - -- � � <br />}- -- --- -- - - -- -- Streams /drainageways: <br />Critical Areas: - -- -� �1 5 - 2�` <br />- � f <br />- - - - -- ------------------ <br />flood prone areas:----- --- -- ------- ----------- - - - - -- slopes; <br />atershed --------------------------- ------- - - - - -- historic sites, <br />natural areas other______________ ____ _______________ _____ ______ <br />a. All site plans must be prepared by a registered engineer, landscape architect, or land surveyor (see <br />"Approval Procedures" for exception). Drawings shall be at a scale adequate to show required detail <br />(generally not more than 1 " =50') and shall contain the following information: <br />Check <br />corn leted <br />items. Shaded areas are for oirrcr US6 ofil • <br />_ <br />ca <br />The boundary of the lot(s) to be developed with bearings, and distances' <br />a. <br />b. The name, address and hone number of the applicant and the ro ert owner; <br />z r: <br />c. Name of protect, vicinity map, north arrow, scale, tax map reference number, date of plan preparation, and <br />subse uent revision dates; <br />d. Zonin of the ro ert to be develo ed and all ad scent zonin and existin ad scent land uses' <br />e. Adjacent rl ht -of -wa widths with road names and numbers; <br />f. Total land area of the parcel, maximum and proposed floor area, minimum and proposed open space, and <br />gross <br />minimum and proposed pedestrian /landscape area Refer to Article 5.1.2 of the Zonin Ordinance)' <br />g. Maximum and proposed impervious surface and required stream buffers In PW 11 and WQCA (Article 6.23 & 6.24); <br />