Special Use Permit Application
Town of Mount Olive
114 E. James Street
P O Box 939
Mount Olive, NC 28365
919-658-9538
FAX – 919-658-5257
****(Note: Please read this application thoroughly before completing. Please print or type all information on this
form)****
(All associated fees are due upon submittal of application)
Section A. USING THIS APPLICATION FORM:
Contact the Zoning Administrator and arrange an informal pre-application conference prior to the date upon
which you intend to submit an application. Staff will generally assist you in preparing an acceptable application.
Submit eleven (11) complete copies and related information to the Zoning Administrator for a meeting of the
Planning Board for their review and recommendation. The recommendation will be forwarded to the Board of
Commissioners. After receiving the recommendation the Board of Commissioners will call for a public hearing and
public notice given. The public hearing will be held at a certain time as called.
The Special Use Permit Application process begins when your completed application form has been accepted
by the Town of Mount Olive Zoning Administrator. Acceptance means that a complete application including the
appropriate fees and supporting documentation has been stamped received and given a file number from staff.
Further, all incomplete applications will be returned to the applicant with a letter outlining its deficiencies.
It is the responsibility of the owner to research and evaluate the site
and the proposal to ensure that the request wiill conform with
the interests of the health, safety and welfare of the future residents,
whether owners or tenants, adjoining property owners and the neighborhood.
Section B. Getting Started:
Date: ____/____/ 20____ Parcel #: ______________________________________
Applicant: ________________________ Property Owner: ______________________________
Mailing Address: ________________________________ Telephone: _______________
City: ________________________ State: _________ ZIP: _______________
Property Location: ___________________________________ Zoning District:
______________ (Street Address)
Proposed Action is: New ____ Expansion ____ Modification/Alteration_____
Flood Hazard Area: 0YES 0NO – NCDOT Driveway Permit Received: 0YES 0NO
Driveway Drainage Pipe to Be Installed 0YES 0NO (If you checked Yes attach a detailed plan showing pipe size and
stormwater calculations)
Water Source: 0Well 0Public System 0Other _____________
Sewage Treatment: 0 Septic Tank 0 Sewer System – Public _______Private_________
Proposed Use of Structure: _____________________________________________
Describe Current Buildings on Property: __________________________________________
Height of Structure: ___________ feet Total Acreage of Site: ______________________
Section C. Site Plan Checklist:
Site Plan Checklist
Items listed in this checklist must be included on the site plan provided by the applicant to the Town of Mount Olive.
Site plans should be drawn at a scale no less than one inch equals 100 feet on a sheet no larger than 24”x 36”
folded to 8”x 11” size. Site plans must be prepared by a licensed professional surveyor, engineer, and/or
architect/site designer.
The following summary is provided for the applicant’s benefit. However, fulfilling the requirements of this summary
checklist does not relieve the applicant from the responsibility of meeting the regulations in the zoning ordinance,
subdivision regulations, and any other development related ordinances of the town, state or federal government.
Basic Information:
Date, Scale, North Arrow, Vicinity Map.
Detailed boundary descriptions of proposed site including location of corner or boundary markers as
located on ground with lengths and bearings of property lines.
Project name, owner’s name and address, name of engineer, architect/site designer, and/or surveyor.
Location and size or width of all public R.O.W and/or easements within, bounding or intersecting the site
including floodplain/floodway areas.
Zoning of subject tract and abutting tracts
The location, name, pavement width and right of way width of existing streets
Site Layout Information:
Acreage of Proposed Site
Location and square footage of existing and proposed structures
Use of existing and proposed structures
Front, rear and side yard setbacks of all structures (existing and proposed)
The location, name, pavement width, curb type, right-of-way width, pavement type, sidewalk location and
curb cuts of all proposed street and parking facilities and site improvements (refer to Section 155.125)
The location of any proposed open spaces
Buffer and screening devices proposed
Location of outside waste facilities/trash receptacles and screening
Exterior lighting proposed and existing
Parking Area: (refer to Section 155.125)
Total number of parking spaces required and provided (show calculations)
Marked parking spaces showing width, depth and layout dimensions
Driveway line markings
Parking stalls marked and designated for handicapped persons, location of ramps per ADA Code
Locations and size of loading areas (Cannot use required parking areas)
Location and width of all curb cuts and driving lanes
Ingress and egress points
Fire lanes/emergency vehicle access lanes
Section D. Applicant’s Statements of Meeting the Following Conditions (Zoning Code Section 155.041 (E) 6. a. – f.):
On a separate sheet of paper answer each of the following questions thoroughly.
a. State how all applicable specific conditions pertaining to the proposed use have been or will be satisfied.
b. State how access roads or entrance and exit drives are or will be sufficient in size and properly located to
ensure automotive and pedestrian safety and convenience, traffic flow, and control and access in case of fire or
other emergency.
c. State how off-street parking, loading, refuse and other service areas are located as to be safe, convenient,
allow for access in case of emergency, and to minimize economic, glare, odor and other impacts on adjoining
properties in the general neighborhood.
d. State how utilities, schools, fire, police and other necessary public and private facilities and services will be
adequate to handle the proposed use.
e. State how the location and arrangement of the use on the site, screening, buffering, landscaping and
pedestrian ways harmonize with adjoining properties and the general area and minimize adverse impact.
f. State how the type, size, and intensity of the proposed use, including such consideration as the hours of
operation and number of people who are likely to utilize or be attracted to the use, will not have significant adverse
impacts on adjoining properties or the neighborhood.
CERTIFICATION:
I certify that I am authorized to make this application, that the information provided is correct to the best of my
knowledge, and that I am authorized to grant, and do grant, permission to the local zoning official and local building
official to enter on the property described above for the purpose of inspections. I understand that if this application
is approved, that failure to meet any conditions of the approval shall result in the revocation of any permit(s) based
upon this certificate. I understand that upon issuance of this Special Use Permit I am required to have approved by
the town a Commercial Zoning Compliance. Failure to do so could result in fines and/or revocation of this zoning
compliance permit should it be approved.
____________________________________ __________________
Applicant Date
After consideration and review of the zoning compliance permit application, I have determined that the applicant is in
compliance with all Town ordinances, which relate to structures erected or situated within the Town.
____________________________________ __________________
Zoning Official Date
Town of Mount Olive
114 E. James Street
P O Box 939
Mount Olive, NC 28365
919-658-9538
FAX – 919-658-5257
****(Note: Please read this application thoroughly before completing. Please print or type all information on this
form)****
(All associated fees are due upon submittal of application)
Section A. USING THIS APPLICATION FORM:
Contact the Zoning Administrator and arrange an informal pre-application conference prior to the date upon
which you intend to submit an application. Staff will generally assist you in preparing an acceptable application.
Submit eleven (11) complete copies and related information to the Zoning Administrator for a meeting of the
Planning Board for their review and recommendation. The recommendation will be forwarded to the Board of
Commissioners. After receiving the recommendation the Board of Commissioners will call for a public hearing and
public notice given. The public hearing will be held at a certain time as called.
The Special Use Permit Application process begins when your completed application form has been accepted
by the Town of Mount Olive Zoning Administrator. Acceptance means that a complete application including the
appropriate fees and supporting documentation has been stamped received and given a file number from staff.
Further, all incomplete applications will be returned to the applicant with a letter outlining its deficiencies.
It is the responsibility of the owner to research and evaluate the site
and the proposal to ensure that the request wiill conform with
the interests of the health, safety and welfare of the future residents,
whether owners or tenants, adjoining property owners and the neighborhood.
Section B. Getting Started:
Date: ____/____/ 20____ Parcel #: ______________________________________
Applicant: ________________________ Property Owner: ______________________________
Mailing Address: ________________________________ Telephone: _______________
City: ________________________ State: _________ ZIP: _______________
Property Location: ___________________________________ Zoning District:
______________ (Street Address)
Proposed Action is: New ____ Expansion ____ Modification/Alteration_____
Flood Hazard Area: 0YES 0NO – NCDOT Driveway Permit Received: 0YES 0NO
Driveway Drainage Pipe to Be Installed 0YES 0NO (If you checked Yes attach a detailed plan showing pipe size and
stormwater calculations)
Water Source: 0Well 0Public System 0Other _____________
Sewage Treatment: 0 Septic Tank 0 Sewer System – Public _______Private_________
Proposed Use of Structure: _____________________________________________
Describe Current Buildings on Property: __________________________________________
Height of Structure: ___________ feet Total Acreage of Site: ______________________
Section C. Site Plan Checklist:
Site Plan Checklist
Items listed in this checklist must be included on the site plan provided by the applicant to the Town of Mount Olive.
Site plans should be drawn at a scale no less than one inch equals 100 feet on a sheet no larger than 24”x 36”
folded to 8”x 11” size. Site plans must be prepared by a licensed professional surveyor, engineer, and/or
architect/site designer.
The following summary is provided for the applicant’s benefit. However, fulfilling the requirements of this summary
checklist does not relieve the applicant from the responsibility of meeting the regulations in the zoning ordinance,
subdivision regulations, and any other development related ordinances of the town, state or federal government.
Basic Information:
Date, Scale, North Arrow, Vicinity Map.
Detailed boundary descriptions of proposed site including location of corner or boundary markers as
located on ground with lengths and bearings of property lines.
Project name, owner’s name and address, name of engineer, architect/site designer, and/or surveyor.
Location and size or width of all public R.O.W and/or easements within, bounding or intersecting the site
including floodplain/floodway areas.
Zoning of subject tract and abutting tracts
The location, name, pavement width and right of way width of existing streets
Site Layout Information:
Acreage of Proposed Site
Location and square footage of existing and proposed structures
Use of existing and proposed structures
Front, rear and side yard setbacks of all structures (existing and proposed)
The location, name, pavement width, curb type, right-of-way width, pavement type, sidewalk location and
curb cuts of all proposed street and parking facilities and site improvements (refer to Section 155.125)
The location of any proposed open spaces
Buffer and screening devices proposed
Location of outside waste facilities/trash receptacles and screening
Exterior lighting proposed and existing
Parking Area: (refer to Section 155.125)
Total number of parking spaces required and provided (show calculations)
Marked parking spaces showing width, depth and layout dimensions
Driveway line markings
Parking stalls marked and designated for handicapped persons, location of ramps per ADA Code
Locations and size of loading areas (Cannot use required parking areas)
Location and width of all curb cuts and driving lanes
Ingress and egress points
Fire lanes/emergency vehicle access lanes
Section D. Applicant’s Statements of Meeting the Following Conditions (Zoning Code Section 155.041 (E) 6. a. – f.):
On a separate sheet of paper answer each of the following questions thoroughly.
a. State how all applicable specific conditions pertaining to the proposed use have been or will be satisfied.
b. State how access roads or entrance and exit drives are or will be sufficient in size and properly located to
ensure automotive and pedestrian safety and convenience, traffic flow, and control and access in case of fire or
other emergency.
c. State how off-street parking, loading, refuse and other service areas are located as to be safe, convenient,
allow for access in case of emergency, and to minimize economic, glare, odor and other impacts on adjoining
properties in the general neighborhood.
d. State how utilities, schools, fire, police and other necessary public and private facilities and services will be
adequate to handle the proposed use.
e. State how the location and arrangement of the use on the site, screening, buffering, landscaping and
pedestrian ways harmonize with adjoining properties and the general area and minimize adverse impact.
f. State how the type, size, and intensity of the proposed use, including such consideration as the hours of
operation and number of people who are likely to utilize or be attracted to the use, will not have significant adverse
impacts on adjoining properties or the neighborhood.
CERTIFICATION:
I certify that I am authorized to make this application, that the information provided is correct to the best of my
knowledge, and that I am authorized to grant, and do grant, permission to the local zoning official and local building
official to enter on the property described above for the purpose of inspections. I understand that if this application
is approved, that failure to meet any conditions of the approval shall result in the revocation of any permit(s) based
upon this certificate. I understand that upon issuance of this Special Use Permit I am required to have approved by
the town a Commercial Zoning Compliance. Failure to do so could result in fines and/or revocation of this zoning
compliance permit should it be approved.
____________________________________ __________________
Applicant Date
After consideration and review of the zoning compliance permit application, I have determined that the applicant is in
compliance with all Town ordinances, which relate to structures erected or situated within the Town.
____________________________________ __________________
Zoning Official Date
 | |  | |  | |  | |  | |  | |  |