HomeMy WebLinkAbout7-11 ApplicationNEW HANOVER COUNTY
DEPARTMENT OF PLANNING & LAND USE
230 Government Center Drive, Suite 110
Wilmington, North Carolina 28403
Telephone (910) 798-7165
FAX (9 i 0) 798-7053
planningdevelopment.nhcgov.com
SITE PLAN —MAJOR APPLICATION
This application form must be completed as part of a major site plan application submitted through the county's online
COAST portal. The main procedural steps in the submittal and review of applications are outlined in the flowchart
Application
Submittal &
Acceptance
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below. More specific submittal and review requirements, as well as the standards to be applied in reviewing the
application, are set out in Section 1 0.3.6(D) of the Unified Development Ordinance.
1. Applicant and Property Owner Information
Applicant/Agent Name
Owner Name (if different from Applicant/Agent)
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Brown Fox LLC
Company
Company/Owner Name 2
C4 CStore Holdings V, LLC
Address
Address
801 East Boulevard
124 Edgehill Rd
City, State, Tip
City, State, Zip
Charlotte, NC 28203
Wilmington, NC 28403
Phone
Phone
704-200-6685
Email
Email
roliva@csere.com
Page 1 of 3
Major Site Plan Application - Updated 12-2020
2. Subject Property Information
Address/Location
Parcel Identification Number(s)
4828 Holly Shelter Rd, Castle Hayne, NC I R01100-008-015-000
Total Parcel(s) Acreage/Acreage to Existing Zoning and Use(s) Building Gross Floor Area
be disturbed
4.40 I B-2, Vacant I 5,373 SF
Proposed Use(s)
Convenience Store
Staff will use the following checklist to determine the completeness of your application. Please verify all of the
listed items are included and confirm by initialing under "Applicant Initial". If an item is not applicable, mark as
"N/A". Applications determined to be incomplete must be corrected in order to be processed for further review.
Application Checklist Applicant Initial
® This application form, completed and signed All
1Z Traffic impact analysis (if applicable)
M Site Plan including elements on the attached checklist
® One (1) hard copy of ALL documents and site plan. Additional hard copies
may be required by staff depending on the size of the document/site plan.
® One (1) digital PDF copy of ALL documents AND plans
3. Acknowledgement and Signatures
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 application.
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Signature of Applicant Print Name
Signature of Applicant Print Name
Note: This form must be signed by the owner(s) of record, contract purchaser(s), or other persons(s) having a
recognized property interest; or by a person authorized to submit the application on their behalf.
Page 2 of 3
Major Site Plan Application - Updated 1 2-2020