20170201 Ver 1_Buffer Determination Request_20170216

Water Resource.
ENVIRONM"IIAL awni_:rr
RECEIVED/NCDENR/DWR PAT M C C R.O R.Y
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FEB 16 2017 DONALD R. VAN DER VA.ART
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Water Quality Regional S. JAY Z I M M E R:M A N
Operations Section
Washington Region .[)WR Use Only:
Additional Requested Information
Required Information
1. Owner Information (corporation/individual who is legally responsible for the property and its compliance)
1 a. Name(s) on Recorded Deed
4c. Telephone no.
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1 b. Responsible Party (for LLC)
5. Project and Site Information
1c. Mailing Address
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1d. Telephone Number
5c. Nearest Named Stream
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1 1e. Email Address
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2. Location of Project Site - please include the county, nearest named town and highway numb"eer:
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3. Has anyone from DWR visited the site?
Y N Staff Name
Die of Visit?
Additional Requested Information
4. Agent/Consultant Information (if applicable) 6
4a. Name, Company (® / C"3 ,cACA0/JAJC--
4b. Mailing address
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4c. Telephone no.
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4d. Email address
5. Project and Site Information
5a. Name of project
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5b. County
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5c. Nearest Named Stream
5d. River Basin
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5e.Provide a brief description offthis project (attach site plan if available):
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Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or MRCS Soil Survey.
If you are unable to locate either of these maps, please contact the Regional Office for assistance.
Please return form to: Anthony Scarbraugh
943 Washington Square Mall
Washington, NC 27889 Note: Submittals on Friday after 12:00 pm
will be stamped as received on the
Fax: [phone] next business day.
Email: anthony.scarbrauqh(a)ncdenr.gov
Please contact Anthony Scarbraugh at [phone] if you have any questions.
State of North Carolina I Environmental Quality I Water Resources —Water Quality Regional Operations —Washington Regional Office
943 Washington Square Mail, Washington, NC 27889
252-946-6481
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Beaufort County, NC
McKinley Property
Disclamer:
Beaufort County online map access is provided as a public service, as is, as
available and without warranties, expressed or implied. Content published on
this website is for informational purposes only and is not intended to constitute a
Legal record nor should it be substituted for the advice or services of industry
professionals. The County of Beaufort and the Website Provider disclaim all
responsibility and legal liability for the content published on this website. The
user agrees that Beaufort County and its Assigns shall be held harmless from all
actions, claims, damages or judgments arising out of the use of County data
beauformc.agdmaps.com
50m Feb/17/2017
9A 1200 ft Scale 1:2400
NNI
REID1 :44650
ZIP: 27858
MBL : 56861027
GPIN: 5686-26-8554
PROP _DESC : 1 LOT (1.28 AC)
PIN _1 : 1004397
GPINLONG : 5686-26-8554
PARKER PLACEISMALLWOOD
DATE: 17.3.2014
NAMEI : CONGLETON DONNA
LAND _VAL : 44800
DB_PG: 00014E/00159
MCKINLEY
BLDG _VAL : 0
STAMPS: 0
NAME2 : MCKINLEY NICHOLAS R
TOT _VAL : 44800
SALE _PRICE: 0
DEFR_VAL:0
ADDRI : 122 OXFORD RD
PREV_ASSES: 44800
CITY: GREENVILLE
ACRES :1.28
STATE: NC
PROP ADDR : NORTHWOOD RD
ADDR2 : 122 OXFORD RD
TOWNSHIP: 1
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