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Wilmington Eye - Commercial Site Plan Application-signedPage 1 of 4 Conditional Zoning District Application – Updated 5/2017 NEW HANOVER COUNTY_______________________ DEPARTMENT OF PLANNING & LAND USE 230 Government Center Drive, Suite 110 Wilmington, North Carolina Telephone (910) 798-7165 FAX (910) 798-7053 planningdevelopment.nhcgov.com COMMERCIAL SITE PLAN Application Items in red are required to be completed Applicant/Agent Information Developer Information Name Name Company Company Address Address City, State, Zip City, State, Zip Phone Phone Email Email Subject Property Information Address/Location (If there is no address, please provide the latitude and longitude) Parcel Identification Number(s) Total Parcel(s) Acreage Existing Zoning and Use(s) Adam Grady Hanover Design Services, PA 1123 Floral Parkway Wilmintong, NC 28403 910-343-8002 agrady@hdsilm.com Kathy Erickson Wilmington Eye, PA 1729 New Hanover Medical Park Wilmington, NC 28403 910-772-8261 Kerickson@wilmingtoneye.com 34-18-55.2813; 77-46-16.2280 R02900-002-068-000 2.25 VACANT LAND B-1 BUSINESS DISTRICT Page 2 of 4 Conditional Zoning District Application – Updated 5/2017 Development Description Development Name Propose Use Development Description ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ Project Contacts Please provide any additional contacts for the project, including the design professionals (engineer, surveyor, landscape architect). 󠄀Engineer 󠄀󠄀Surveyor 󠄀󠄀Landscape Architect 󠄀 󠄀Other ______________ 󠄀Engineer 󠄀󠄀Surveyor 󠄀󠄀Landscape Architect 󠄀 󠄀Other ______________ Name Name Company Company Address Address City, State, Zip City, State, Zip Phone Phone Email Email WILMINGTON EYE MEDICAL OFFICE-COMMERCIAL PLANS TO CONSTRUCT A 23,140 SF BUILDING AND PARKING LOT LOCATED ON LOT-2 LOCATED IN SCOTTS HILL MEDICAL PARK X Adam Grady Hanover Design Services, PA 1123 Floral Parkway Wilmington, NC 28403 910-343-8002 agrady@hdsilm.com Page 3 of 4 Conditional Zoning District Application – Updated 5/2017 Traffic Impact Please provide the estimated number of trips generated for the proposed use(s) based off the most recent version of the Institute of Transportation Engineers (ITE) Trip Generation Manual. A Traffic Impact Analysis (TIA) must be completed for all proposed developments that generate more than 100 peak hour trips, and the TIA must be included with this application. ITE Land Use: _________________________________________________________________________________ Trip Generation Use and Variable (gross floor area, dwelling units, etc.): __________________________________ AM Peak Hour Trips: ___________________________ PM Peak Hour Trips: ______________________________ Specific Development Information Disturb Area in Acres Proposed Impervious Area (square feet) Number of Buildings Number of Stories Building Height (feet) Total Building Area (square feet) Utility Information Water Provider 󠄀CFPUA 󠄀󠄀Aqua 󠄀󠄀Community System 󠄀󠄀Private Well Sewer Provider 󠄀CFPUA 󠄀󠄀Aqua 󠄀󠄀Community System 󠄀󠄀Private Septic Maximum # of Employees for the Proposed Buildings Gallons of Waste Water per Day Proposed Development Questions Are there any deeded easements for the subject site? If so, please illustrate the easements on the site plan. Will gated access be installed? Please check if the following features will be installed: 󠄀Swimming Pool 󠄀󠄀Spa/Hot Tub 󠄀󠄀Water Attraction 󠄀󠄀N/A Has a tree survey been completed for the site? If so, please include it in your application. Will fire hydrants be installed? Have you applied for driveway permit from NCDOT? 720-Medical Office Employees 20 24 2.25 1 33 65,175 2 23,140 x x 24 1000 NO x YES NO N/A Page 4 of 4 Conditional Zoning District Application – Updated 5/2017 DISCLAIMER I hereby certify that I am the applicant or authorized agent of the applicant, and the information included in this application is accurate to the best of my knowledge, information, and belief. I also certify that I have submitted all of the information and documentation required for this application. Further, I acknowledge that no site work can commence until all applicable approvals and permits are obtained, and that any modifications to approved or proposed plans must be reviewed by the County and may require the submittal of a new site plan application. __________________________________________ _______________________________________ Signature of Applicant/Agent Print Name ADAM H. GRADY, PE