WSCO_CHAT_WSWP boundary change request application_20230307

CHATHAM COUNTY
NORTH CAROLINA
APPLICATION ACCEPTANCE WATERSHED
POLICY PROTECTION
ORDINANCE
AMENDMENT
Chatham County PO Box 54, Pittsboro, NC, 27312
Planning Department Telephone [phone] Fax[phone]
www.chathamcount nc.gov/planning
Chatham County understands that clear expectations make the application and
development review processes easier for both applicants and staff. The policies outlined
below will enable Planning and Watershed Protection Department staff to move the process
along in a way that ensures that each application receives the attention it deserves. Staff
desires to complete review of projects in an accurate and timely manner. Due to the
preparation, reviews, and public hearing schedules, working with incomplete materials
detracts from the timely review of applications.
1. Applications are to be reviewed for completeness by staff prior to being officially accepted
for review. Applications that are dropped off or mailed in cannot be accepted without prior
approval from the Watershed Administrator.
2. Checklists for each type of request are provided with each application package, if
applicable. If the application does not contain all required items on the checklist, it will be
considered Incomplete and shall not be accepted.
3. Application fees must be paid at the time an application is submitted for acceptance.
Please provide ONE complete set of the application and all supporting materials when
submitting. More copies will be requested by the Planning or Watershed Protection
Departments (16 sets) once the sufficiency review period has been completed.
4. In order to allow time to process fees, applications will not be accepted after 4:00 pm
each day.
5. For your convenience, applicants may schedule an appointment with staff to review te
application package before the official submission.
The Planning Department staff looks forward to working with you during the application
process. If you have questions or need further assistance, please call 919-542-8233.

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CH/vrHAM COUNTY
NORTH CAROLINA
Applicant information:
Chatham County PlanningDeparttnent
PO Box 54180-A East Street
Pittsboro, NC 27312
Ph: [phone]
Hark: [phone]
CIIATFLt1A+i COUNTY APPLICATION FOR
AIMENDMENT TO THE WATERSHED
PROTECTION ORDINANCE OR MAP
NAME: Manns Chanel it LLC (Sean McCaii)
ADDRESS: 111 2m Avenue North #302, St. Petersburg,
FL 33701
CONTACT PH: [phone]
Landowner Information (if applicable):
NAME: 'See Attached Exhibit Ark
ADDRESS:
CONTACT PH:
Physical (911) Address: *See Attached Exhibit B* PARCEL (AKPAR) No.: 2641 2642
Township: Chapel Hill Total Acreage: 5.46 AC
(Do not round acreage. Use exact acreage from tax record or survey)_
Map Amendments to Ordinance:
Provide a total of three maps. One map showing the existing watershed protection boundary, a separate map showing proposed
changes to the boundary, and a third map showing current and proposed boundaries with existing surveyed topography to be signed
and sealed by a NC licensed Surveyor or Engineer. The sealed map must also include stormwater flow/drainage/hydrology to
demonstrate that water on one side of boundary flows to water supply watershed and water on other side of boundary
flows away from water supply watershed.
Text Amendments to Ordinance
Section Page_____, Section Page. Section Page
Existing Language
Requested Language Change:
Reasons for requested text amendment:

i
APPLICATION SUBMITTAL REQUIREMENTS
In addition to the map and/or text unendment information plensc include thefoflowing tnfor adon:
1. Mailing labels for all adjoining property owners.
Please address the follorvi'ug on a separate summary attachment-
1. Any allegcd error in the Ordinance, if any, which would be remedied by the proposed amendment
2. The changed or changing conditions, if any, which make the proposed text and map amendments reasonably
necessary.
3. The manner in which the proposed text and map amendments will carry out the intent and purpose of the
Comprehensive Plan or part thereof You must note specifics from the plan giving reference to page number
and section.
No application packets will be taken after 4pm. All fees must be paid at the time of application submittal. A mailing
list (self-adhesive labels) of all adjoining property owners is required.
Application Fee: $250.00
Fees are non-refundable once the public hearing notices are sent and even if the request is denied.
PLEASE SIGN THE MOST ACCURATE SIGNATURE ®PTION BELOW (L2,011 3)
(1) I hereby certify that I am the owner or authorized gggnt of said nro,pg and that the
information provided 1 n plete and the statements given are true to the best of to knowledge.
� r
nature / Date
��
Print Name
"The owner must sign the following if someone other than the owner is making t� he application
(2) I hereby certify that (please print) is an authorized agent for
said property and is permitted by me to file this application.
Signature Date
Print Name
(3) I acknowledge that I am not the landowner OR authorized agent of the property for which this
application is being made, but I do live within the zoned area of the county.
Signature Date
Print Name

In addition to the Wrap and/or te.vtarnandment hifar7nation please include thefolloninginformation,
1. Mailing labels for all adjoining property owners.
Please address the following on a separate summary attachment.
1. Any alleged error in the Ordinance, if any, which would be remedied by the proposed amendment
2. The changed or changing conditions, if any, which make the proposed text and map amendments reasonably
necessary.
3. The manner in which the proposed text and map amendments will carry out the intent and purpose of the
Comprehensive Plan or part thereof. You must note specifies from the plan giving reference to pace number
and section.
No application packets will be taken after 4pm. All fees must be paid at the time of application submittal. A mailing
list (self-adhesive labels) of all adjoining property owners is required.
Application Fee: $250.00
Fees are non-refundable once the public hearing notices are sent and even if the request is denied.
PLEASE OPTION BELOW (11, 2. QR4
I hereby certify that I am the owner or authorized a,&_ent of sajdpropemr and that the
information pro-,jo,ed is complete and tratcments given are true to the best of my knowledge.
(7/2 1 LI 1 2,
Signature Date
'Mer-A,'-f" L_"_ &'C'_
Print Name
The owner must sign the following if someone other than the owner is making the application.
(2) 1 hereby certify that (please print) is an authorized agent for
said property and is permitted by me to file this application.
Signature Date
Print Name
(3) 1 acknowledge that I am not the landowner OR authorized agent of the property for which this
application is being made, but I do five within the zoned area of the county.
Signature
Print Name
Date

Application No.:
PL-
Payment
UCheck Nu____ nCash
Planning Department
Revised July 2021 hg/Js
Date Received: 20
F1 Credit Card n Money Order
]

Landowner Information
NAME: Manns Chapel 11 LLC
ADDRESS: Leon H Chaplin Jr PO Box 705, Linville NC, 28646
CONTACT PHONE: [phone]
EMAIL: [e-mail]
NAME: The Pantry Inc & Circle K Stores Inc
ADDRESS: 1130 W Warner Rd Bldg BDC 17, Tempe, AZ 85284
CONTACT PHONE: [phone]

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Prope.V Identifica
tion
(Parcel 264 1 )
MYSICAL ADDRESS: 5186 Manns Chapel Rd, Chapel Hill, NC 27517
(Parcel 2642)
PHYSICAL ADDRESS: 11399 US 15 501 N, Chapel Hill, NC 27517