Application For Subdivision Approval

Application for subdivision approval

Date *

Name Of Subdivision /Plat Title Shown: *

Private or Public Road Way: *

Road Name?

NCSR: *

Road Number?

Pin Number # *

Property Owner Name: *

First

Last

Address *

Address Line 1

City

State

Zip Code

Contact Number: *

Email *

Confirm Email

Name of Developer (Other than owner): *

Address *

Address Line 1

City

State

Zip Code

Contact Number: *

Contact Email *

Confirm Email

Surveyor Company Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Contact Number:

Email *

Confirm Email

Licenses #: *

Type of Subdivision Plat for Approval:

Major Subdivision Plats:

Total number of lots for Minor or Major Subdivision: *

Inside EJT: *

Total Acreage: *

Office use only:

Fee Schedule Minor Subdivision- defined as five (5) or fewer lots with no infrastructure improvement, i.e. roads, water & sewer. Final Plat $95.00 Exempt Plat $75.00 Major Subdivision: Preliminary Development Review Fee $100.00 Preliminary Plat $ 220.00 (base fee) (plus $22.50 per lot) Final Plat $220.00 (base fee) (plus $11.00 per lot) Storm Water Fees: Subdivisions $110.00 Tar-Pamlico Nutrient Control $500.00