23-442_Buffer Determination Application_12112023

North Carolina Department of Environmental Quality Division of Water Resources
512 North Salisbury Street 1617 Mail Service Center Raleigh, North Carolina 27699-1617
919.707.9000

Date Received___ DWR Use Only: Project #

Buffer Determination Request Form
Property Owner Information
1. Owner Information
1a. Name(s) on Recorded Deed Monica Williams & Tyler Williams
1b. Responsible Party (for LLC)
1c. Mailing Address 239 Fairview Rd
1d. Telephone Number 919.454.2289 1e. Email Address [e-mail]
Address of Property: 239 Fairview Rd, Cary, NC
Project Description (attach plan if available): Proposed Building Addition

Consultant/Agent Information
4. Agent/Consultant Information
4a. Name, Company Bateman Civil Survey Company
4b. Mailing address 2524 Reliance Ave, Apex, NC
4c. Telephone no. 919.577.1080 4d. Email address [e-mail]
5. Project and Site Information
5a. Name of project Fairview Rd 5b. County Wake
5c. Nearest Named Stream Walnut Creek 5d. River Basin Neuse
6. Has anyone from DWR visited the site? Y / N Staff Name Date of Visit?

Attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey.

Please return form
to:

Joe Myers
1628 Mail Service Center
Raleigh, NC 27699-1628
Email:
[e-mail]

Please contact the Raleigh Regional Office at [phone] if you have any questions.
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Disclaimer
iMaps makes every effort to produce and publish
the most current and accurate information possible.
However, the maps are produced for information purposes,
and are NOT surveys. No warranties, expressed or implied
,are provided for the data therein, its use,or its interpretation.
50 200 ft1000
±
REID: 0097432
PIN: 0764607192
PIN Extension: 000
Land Value: $140000
Building Value: $147480
Total Value Assessed: $287480
Deed Acres: 0.31
Total Sale Price: $184000
Sale Date: 2/28/2011
Year Built: 1978
Heated Area: 1448
Type and Use: SINGLFAM
Design Style: Conventional
City: CARY
Planning Jurisdiction: CA
Township: Cary
Owner: WILLIAMS, TYLER WILLIAMS,
MONICA
Mailing Address 1: 239 FAIRVIEW RD
Mailing Address 2: CARY NC 27511-3453
Deed Book: 014451
Deed Page: 02443
Deed Date: 9/2/2011
Land Class: Residential Less Than 10 Acres
Map Name: 0764 19
Billing Class: Individual
Property Description: LO59 CORONADO
VILLAGE SETWO
Address: 239 FAIRVIEW RD
Street Name: FAIRVIEW RD
Old Parcel Number: 028-00000-0475
Units: 1
Total Structures: 1
Total Units: 1
239 Fairview Rd
1 inch equals 100 feet
Property
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