Preliminary Subdivision Plan Application
Town of Mount Olive
114 E. James Street
P O Box 939
Mount Olive, NC 28365
919-658-9538
FAX – 919-658-5257



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 the Application Form: (Minor Subdivision complete where applicable)

o        Eight (8) complete copies of the application and plans must be submitted for
review and comment to the Subdivision Administrator. In addition, an electronic
PDF copy of the site plan is required either on CDR or via e-mail.

NOTE: You are encouraged to arrange an informal pre-application conference
with the Subdivision Administrator at least three (3) weeks prior to the date upon which you intend to submit an
application. You should bring a rough sketch of your proposal to this conference.

o        The property owner or his authorized agent should complete the application.
Where an agent is making it, written authorization should be shown on the face
of the draft plan.

o        It is the responsibility of the owner to research and evaluate the site and the
proposal to ensure that the development will conform with the interests of the
health, safety and welfare of the future residents.

o        The subdivision process period begins when your completed application form
has been accepted by the Subdivision Administrator. Acceptance means that the application has been stamped
received and given a file number from staff. Further, a complete application includes the appropriate fees and
supporting documentation. All incomplete applications will be returned to the applicant with a letter outlining its
deficiencies.

o        Please make sure that you have obtained a copy of the Town of Mount Olive
Subdivision Ordinance and have complied with the requirements of the Subdivision Design Standards Section
154.35.



Section B. Getting Started

In accordance with the requirements of the Town of Mount Olive Subdivision Ordinance, there is submitted
herewith for approval a preliminary plan of the following subdivision:

Applicant Information

Date: ______________

Applicant: _______________________________________________________________

Mailing Address: ________________________________ Telephone: _______________

City: _________________________ State: _________ Zip: _______________________

E-mail Address: __________________________________________________________

Property Owner: __________________________________________________________

Mailing Address: ________________________________ Telephone: _______________

City: _________________________ State: _________ Zip: _________________

Development Information

Name: __________________________________________________________________

Phase: _____________________ Section: _____________________________________

Location: _______________________________________________________________

Section C. Statistical Summary

_______ Number of proposed lots in this section _______ Minimum lot size (square feet)

________ Current Zoning                         __________ Maximum lot size (square feet)

________ Total Acreage                        ___________ Average lot size (square feet)

_________ Acreage in recreation/open space                      Homeowners Association?
 Yes              No


Section D. Roads

Public                         Private                   Both

(If you checked “Public,” provide the total gross linear footage of all public roads below)

Total Linear Feet: ________________

Sidewalks Provided                 Yes                 No

Streetlights Provided                 Yes                 No

Note: All roads will have a speed limit of 35 mph. unless otherwise approved by the Town Board of Commissioners.

Section E. Water & Sewer

Water Source:                   Well                 ___________________                 Other

Gallons Per Day (Water): ____________

Sewage Treatment:                 Septic Tank                 Sewer System – ________________

Gallons Per Day (Sewer): ____________

Please Note: All requests from a prospective sewer user must be approved in advance.

Section F. Existing and Proposed Use of Land to be Subdivided

Current use of Land: ______________________________________________________

_______________________________________________________________________

Proposed use of Land and Number of Dwellings (Check all that apply):

Residential, single family ________                 

Residential, multiple family_______                Townhouse____________________

Duplex________         Triplex______        Quadplex______________________

Apartments____________________                 Condominium  _________________

Commercial or Industrial _____________________________________________

Other (please describe) ______________________________________________