Orange County NC Website
APPLICATION FOR PRELIMINARY PLAN APPROVAL <br />MAJOR SUBDIVISION <br />ORANGE COUNTY <br />PLEASE TYPE OR PRINT (INK ONLS~ <br />SUBDIVISIO] <br />LOCATION: <br />OWNER/DE~ <br />ADDRESS: S)~r( <br />AGE /CONTAC ~~N l l~ <br />A. <br />B. <br />SUMMARY INFORMA <br />Orange County Tax Map <br />General Land Uses in Area: <br />Critical Areas: <br />L-t=tdt"J--4W <br />other (explain) <br />~o <br />DATE ~1~) Iou <br />~Lj TELEPHONE NO.: 5 ~5 ~ Q~ S <br />~~l , ~, z~~l~f <br />,~ ~~ ~. TELEPHONENO.: ~(i l 77JL'"~~IOT~ <br />T .a S~- <br />[ON: <br />Block Lot(s) ~ Township ~ h l? <br />Zoning District(s): ~-1 <br />Total Number of Acres:~~ <br />Total Number of Lots: ~_ Average Lot Size~Minimum Lot Size: ~t L <br />Number/Type of Structures: (existing) ~]_pYl'e (proposed) tS'~ ~ r,r+: <br />Lineaz Feet in Streets: 1L3I1~ Acres in Open Space: Ib <br />Water Supply: Public (specify) Community ~_ Individual <br />Wastewater Disposal: Public (specify) Community ~G Individual <br />School District• Fire District <br />Is the property to be subdivided currently under "farm use value taxation"? Yes No _~. If "yes," please <br />contact the Orange County Tax Office. Subdivision of the property may require payment of deferred taxes under <br />"farm use value taxation:' <br />All plats must be submitted on sheet no smaller than one inch equals two-hundred feet (1"=200') and no larger than <br />one inch equals twenty feet (1"=20') and must contain the following information: <br />` <br />~ ~ subdivision name <br />name & address of owner(s) <br />': name & address of subdivider <br /> <br />f <br />` (if other than owner) <br />-:.;:._!: <br />: <br />~~ name of surveyor, engineer, landscape <br /> architect or azchitect, address, <br /> registration # & seal <br />=5":! i'i i= (title) Preliminary Plan <br /> <br />~ scale, north arrow <br />/ <br />y ?`~ ~r <br />__' date of plan preparation and revisions <br />f/ ` township, tax map-block-lot references <br />~/ ,;:;.:.....:' Pazent Pazcel Identification # <br />..,.: <br />deed book and page # of property to be <br />/ subdivided <br />d <br />ii`z">~ boundary described with bearings an <br /> <br />~:> distances <br />total acreage of the tract and acreage of <br /> lots, including and excluding azea within <br /> rights-of--way <br /> control comer <br />watershed (specify) <br />flood prone areas <br />historic sites <br />t// zoning of tract and adjacent properties <br />i <br />,/ ~ ? on <br />building setback lines by notat <br /> or typical lot layout <br /> location and width of existing and <br /> proposed easements (drainage, utilities, <br />/ <br />~/ :,` roads, etc.) <br />existing, proposed and adjoining rights- <br /> of-way including dimensions and street <br /> names and State Road numbers. Linear <br /> feet of road centerlines and approximate <br /> acreage of new street rights-of-way <br />1~ <br />_.~:." existing and proposed utilities, including <br />„ <br />/ type, sizes, hydrants, valves, manholes <br />d <br />i;><c( existing and proposed curbs, gutters an <br />_ culverts, including sizes and grades <br />p1~ _;_.-.~~ location and width of alleys, sidewalks, <br /> <br />~ bike lanes, transit systems, and bus stops <br />: ., typical street cross-sections and <br /> intersection details including design and <br /> width of travelway and shoulders <br />(please complete reverse side) <br />