20171219 Ver 1_Buffer and/or Stream Determination Request_20170926

RECEIVED/NCDENR/DWR ROY COOPER
Governor
SEP 2 B 2017 MICHAEL S. REGAN
Secretary
Water Resources S. JAY ZIMMERMAN
Environmental Quality Water Quality Regional Director
Operations Section
Washington Regional Office
DWR Use .Only: Projectlt: 7�
Date Received:�%
Buffer Applicability / Stream Origin Determination Request
Property Owner Information
1. Owner Information (corporation/individual who is legally responsible for the property and its compliance)
Ia. Name(s) on Recorded Deed Carson Scott Dail
lb. Responsible Party (for LLC)
1c. Mailing Address PO Box 910, Winterville NC 28590
Sd. Telephone Number [phone] 1 le. Email address [e-mail]
2. Address of Property or Location of Project Site (including county, nearest named town, and highway or road name/ number):
4254 Charlie Williams Rd, Grimesland, NC 27837 (Parcel 08138)
3• Agent / Consultant Information
3a. Agent/ Consultant Name
3b. Company
3c. Mailing address
3d. Telephone no.
3e. Email address
I Pitt
4. Project / Site Information
4a. Name of project
Carson Dail Property
qc. Nearest Named Stream
Clayroot Swamp
4b. County
I Pitt
4d. River Basin
Neuse
5. Project Description (attach plan if available)
6. Has anyone from DWCivisited the site? --FY / N I Staff Name: Date of Visit:
7. Attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey
If you are unable to locate either of these maps, please contact the DWR Washington Regional Office for assistance.
DWR Use Only: Is this determination for the purpose of Buffer mitigation? Nutrient offset credit?
8. Please return form to: Anthony Scarbraugh
943 Washington Square Mall Note: Submittals on Friday after 11:00 pm
Washington, NC 27889 Will be stamped as received on the
Email: Anthonv.Scarbraueh ncdenr eov Next business day
Please contact Anthony Scarbraugh at the Washington Regional Office at [phone] if you have any
questions.
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State of North Carolina I Environmental Quality I Water Resources -Water Quality Regional Operations Section -Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

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OPIS Print
la—, Pitt County Government
Greenville, North Carolina
www.pittcountync.gov
)isclaimer This tax record is prepared for the inventory of real property within Pitt Count
and is compiled from recorded deeds, plats, tax maps, surveys, and other public records.
Users of this data are hereby notified that the aforementioned public primary information
Page I of 2
Parcel:
08138
Physical Address:
4254 CHARLIE WILLIAMS RD
Owner Name:
DAIL CARSON SCOTT
OwnerAddressl:
DAIL SUMMER CHAGNON
OwnerAddress2:
PO BOX 910
OwnerAddress3:
Chicod
City / State / tip:
WINTERVILLE NC 28590
NC PIN:
5622340872
Subdivision / Section /
CHICOD
Phase:
BLACK JACK FIRE SERVICE
Prior Legal
DISTRICT
Census Tract:
MAG MILLS
Block / Let:
002013
Tract:
Chicod
Building Number /
Chicod
Unit:
D H Conley ITS
Acres:
10.52
Current Owner
Dmil/Document:
00337900224
Map Book:
-
Deed / Document Date:
10/2015
Deed/Document Sales
$50,000
Price:
Building Type/Use: RESIDENTIAL(Rural Homesite)
Number or Buildings: 0
Year Built:
Total Living Area:
Building Value:
Extra Features Value:
Land Value: $43,525
Total Current Market $43,525
Value:
Total 2015 Market $23,848
Value:
Revaluation Year: 2016
Municipality:
Township:
CHICOD
Fire Service District:
BLACK JACK FIRE SERVICE
DISTRICT
Census Tract:
1100
Neighborhood:
002013
Elementary School:
Chicod
Middle School:
Chicod
High School:
D H Conley ITS
PLEASE NOTE:
The parcel ownership information is updated nightly and
https://gis.pittcountync.gov/opis/print.aspx?resetSession=true&x 1=2521952.333 5399893 &... 9/26/2017

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