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HomeMy WebLinkAboutSW7070335_COMPLIANCE_20070402STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW %D DOC TYPE ❑ CURRENT PERMIT ❑ APPROVED PLANS ❑ HISTORICAL FILE pp COMPLIANCE EVALUATION INSPECTION DOC DATE Z�02j YYYYMMDD .� �,. O SW7Oi0335 (WTivJ) io,.9�,/o je pWQ FINANCIAL RESPONSIBILITY/OWNERSHIP FORM FoM.�U.lVour QS SEDIMENTATION POLLUTION CONTROL ACT No person may initiate any land -disturbing activity on one or more acres as covered by the Act before this form and an acceptable erosion and sedimentation control plan have been completed and approved -by the Land Quality Section, N.C. Department of Environment and Natural Resources. (Please type or print'a" dZJ f,0 VE[D the question is not applicable or the e-mail and/or fax information unavailable, place N/A in the blank.) Part A. APR 0 2 2007'' ` 1. Project Name rf'J r " rNIA ARO VVV 2. Location of land -disturbing activity: County BE/g LIF021- City or Township �45� r h( Highway/Street (1 S Z 6 I Latitude 3o> 3S 12 N Longitude % 7 �O S l f z" W 3. Approximate date land -disturbing activity will commence: i % /y l 0L 4. Purpose of development (residential, commercial, industrial, institutional, etc.): G A w<a' 5. Total acreage disturbed or uncovered (including off -site borrow and waste areas):_ �—' y 6. Amount of fee enclosed: $ J O0. 00 . The application fee of $50.00 per acre (rounded up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee is $450). 7. Has an erosion and sediment control plan been filed? Yes No Enclosed 8. Person to contact should erosion and sediment control issues arise during land -disturbing activity: Name W/ %/* a M />. &LA d,/ TnV3 %E-mail Address Telephone Sz — y tJb-yY33 Cell # H YY r—fyo/ 9. Landowner(s) of Record (attach accompanied page to list additional owner: L1] Name e,o, Current Mailing Address IA14f4IN YTOA,1 City I State Zip 10. Deed Book No. % q o Page Part B. z sa-y y6 — Telephone �-s! 6 uSz 6; Current Street Address r LU MAR 3 0 20UI RrSECTION klMS4 4940NA6 OFFIG(i Wh—(4 (,,,IX rdA/ /.V� C. 2 7,? y City State Zip i Provide a copy of the most current deed. Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a comprehensive li,�t of I responsible parties on an attached sheet): (n/ �/I A. H /SA/3d dV I2%y uG CC9q � /f�rtl r CXun Name E-mail Address Current Mailing Address Current Street Address W6f4otNyTOV AC, 2799 City State Zip 2S2-fi b—q 373 Telephone 2 s- L - `� 0 PyAfS /H!1 %UY` AC '�/6g/ City m State Zip Fax Number 1-e/,,,+ a c a r ., 2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the designated North Carolina Agent: Name Current Mailing Address E-mail Address Current Street Address City State Zip City Fax Num State (b) If the Financially Responsible Party is a Partnership or other person engaging in business under an assumed name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible Party is a Corporation, give name and street address of the Registered Agent: Name of Registered Agent E-mail Address Current Mailing Address Current Street Address City State Zip City Fax State Zip The above information is true and correct to the best of my knowledge and belief and was provided by me under oath (This form must be signed by the Financially Responsible Person if an individual or his attorney -in -fact, or if not an individual, by an officer, director, partner, or registered agent with the authority to execute instruments for the Financially Responsible Person). I agree to provide corrected information should there by any change in the information provided herein. w1 //,'g M H. 7-w vsr e e Type or print name Title or A thorny Signature Date/ I;, AU'V ILV 16AMO� l A I 1=V IJ L--T 1, V;t Notary Public of the County of J IV( .fLU Vf"t State of North Carolina, hereby certify that ! `�� A /`I { � , /�/2�c' d V appeared personally before me this day and being duly sworn acknowledged that the ove form was executed by him. Witness my hand and notarial seal a*JARVjsQo�; cg S�iAR y °� 'Oueu� 0' :�9G.o ,Z.• a CO this —I' "day of / L 2001 Notary My commission expires BGOK 9 0 PAGE 3 9 BEAUFORT COUNTY STATE OF �LIOIRTH $i7o - 0 0 '7 0 ApOUNA Real Estate Excise Tax E.Cls. TAX ry170.00 TAX Lot NO .........RecOrding Time, Book and Page Verified by ............................................................. ..Parcel Identifier No ... .... by ... ....... .......... ............ County on the (lay of . ......... .. ...... ................ I D— ... ..... ..... ..... ... .. . Mail after reco}dlr,, to ........ ... . ............ .......... . ThIa instrument wes prepared by H. .. .... ..... . ..... ...... ... Brief de.erl,fi.e in Box 1.82A, WmShillgtqfl �.q. 27889 I the Index 6.00 Acres, U.S. Highway 264 NORTH (CAROLINA GENERAL WARRANTY DEED THIS DEED made this - 3rd .... day Of Deceniber.. 19 93 . by and between GRANTOR' GRANTEE William H. Page nc and wife, 7 Francis Everhart, Jane W. Page Clyde Hicks, ldar`l no E 10� E W P.O. BOX 1828 William Bra y, Washington, N.C. 27889 Trustees of Second Baptist Chu -INHEED Enter I- -M-111.1e black far I.ch Per',: n.rar. Add ..... A ad. If App­p,I.j,, LAND QUALITY OL00N character ., eat, .q, Y-P.r.u-. WAWU'ta'bN Pe616NAL The designati. o- n Grantor end Crate tee II d herein SAW Parties, their successors, and 7-19-- and shalt Include P,n,.1, C.11n., feminine or neuter As required by content.WITNESSETH' that the Grantor, for - valuable consideration Paid by the acknowledged, has and by these Presents does grant, bargain, sell and convey Gractee. the receipt Of which is hereby certain lot of Parcel of land situated in the City of �Nno the Grantee in fee simple, all that Beaufort Washington . I . .. I ... .... County, North Carolina and more ;Nlrticularl� desc, I"ll . as I IN I Maws Township, See attached "Exhibit A". Mo4ne'e- san-Nel- 1976.Ra1iA,d- 111, lalauaa,.U. B60K 990PAGE 396 "EXHIBIT A" All that certain lot or parcel of land lying and being in Washington Township, Beaufort County, North Carolina, more particularly described as follows: BEGINNING at an iron pipe located in the Easterly edge of the right of way of U.S. Highway 264, said point of beginning being located as follows: South 33 degrees 56 minutes 12 seconds East 20 feet from an iron pipe which is the Southernmost corner of that property conveyed to Thomas H. Sutton at ux in Deed Book 948, Page 865, Beaufort County Registry, and thence from said point of beginning North 45 degrees 0 minutes 12 seconds East 357.37 feet to an iron pipe; thence North 45 degrees 0 minutes 12 seconds East 217.34 feet to a point in Iron Mine Branch; thence North 61 degrees 58 minutes 52 seconds East 16.52 feet to a point in Iron Mine Branch; thence South 34 degrees 31 minutes 0 seconds East 122.60 feet to an iron pipe; thence South 34 degrees 31 minutes 0 seconds East 334.86 feet to an iron Pipe; thence South 55 degrees 29 minutes 0 seconds West 122.49 feet to an iron pipe; thence South 37 degrees 59 minutes 02 seconds West 220.19 feet to an iron pipe; thence South 55 degrees 29 minutes 02 seconds West 250 feet to an iron pipe set in the Easterly edge of the right of way of U.S. Highway 264; thence along said Easterly edge of the right of way of U.S. Highway 264 North 34 degrees 31 minutes 0 seconds West 326.74 feet to a D.O.T. monument; thence North 33 degrees 56 minutes 12 seconds West 94.27 feet to the point of beginning, containing 6.00 acres and being designated as Lot A on that survey entitled "Property of Second Baptist Church - Lot A" dated November 4, 1993, prepared by Flood Richardson, P.A., a copy of which is attached hereto and incorporated herein by reference. Reference is made to deed in Book 906, Page 598, Beaufort County Registry. BOOK 990PAGE xoRTN uxou2u eEAurwr casrrr 1. •TrTO u ED, 0 NATON OTHER TRAR Ae le BEPAE ME Tw5 BAY AID ACRwaWLEBOEO 1H iHR1 OF THE r'p40a•K ON TN7 A90UT 0.7. ITJ0, 7[CTISN 5, NfTRWUT. WITNESS MY HAND AA a THE 5TH DAY OF NIJO TNI ITX gAY O NOIF7B[R WPICIEQ ,1195. '.; •t isil. . r '. -_ LIaWY L. BICR.M, - ee wr coWww4R i ' `.. INC P, 496 "•a.. . JD. OR) Ley - OB' 137, 3 e5• e5' 59" W / 9 TI. 33' or W L95' aL 6' / NOTE p: BOUNDMY IS9 TT• 22' 21' W BRAIN _.�I N 61. 56' 52" E RUN OF IRON 25.69'IR MIea. 52L9' MINE BRANCH a 141E A J O8 N 61. 50' 52- E �• �� 0 ry 0,84 Acre 9 O 6.00 Acres w 150 120 Bo 60 50 0 Teo 300 GRAPHIC SCALE N LEGEND e NEW IRON WE • TOUTED IRON PPE s POINT _..=..__c DITCH -- UNSU VEYED Bf%MINtY LEES _.-.-. ROAD RNwYT-OF-'MY LelS ❑ 1LCD.O.T, CONCRETE RIP,fT-OF-'MY MOKe1ENT AREA MAP PROPERTY OF: M0""E Second Baptist Church - Lot A Rvdal• Washington Township Beaufort County SuShcAll.n I Norih Carollna SCALE: I'.150' SURVEY OATS NOVEMBER e, 1993 SURVEYED By' INA"a NCMARa3 PA 20a MORTN M1BItET STREET w.S101oTON NC. 27281 PIEMIE WIN 175-0 72 BOOK 990PA6E 398 The property hereinabove described was acquired by Grantor by Instrument recorded in Deed Book $G6r Page $9S. Beaufort County Registry A map showing the above described property Is recorded In Platte Cabinet..D.., TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and nppurtennncca thereto belonging to the Grantee In fee simple. And the Grantor covenants with the Grantee, that Grantor Is Seized of the premises In fee simple, has the right to convey the same in fee simple, that title IS marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title ngainet the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the properly hereinabove described is subject to the following exceptions: Subject to 1994 Ad Valorem taxes. Subject to the rights of others in and to Iron Mine Branch. Subject to the right of way to U.S. Highway 264. Subject to easements and restrictions of record. IN wfrNess WHERE.' nr[ er.nmr ma nrreunm rat nlr a.m ana sal, r u el. h,I,un,nLL 1. a .Iron 1n m nrm< nr IIr eulY au0orlaea . 1 Corp olll[en me .gore .rluen. Itr .eJ ro ea neuunro !lace Cr .utnorLLY of It nluelon, Ina aq'ana re.r 1411 ------------------------------- -------------------------------- (Corpente Hamel _ _ GG a'_ . -`r ... ___,__.._. ____ � � ___ _ _ _ ... ...-ISEAI.I -� oY=--------------------------------------- Y _----------`---- Jl V/}��+/Tr CJ z - -'-----------....-------------<SFALI _---------------------__.Pre.mrm ane W. Page Y ATTEST: ...................... (J 3 .. - .-ISEALI .. ---- A _-se<reYrY IC.rpprJe Sean I .. .-. ........ �1p 4L�I pst `_i tsenw s EAL-sransv 4J [r a L NORTH CAROLINA . 1 County 1f `� O" N T.9 1. a Np1a11 Puelle .f IN, C,orl,f ne Slate Jorllala [erlllY Ina! Lo a ��s�r��.�S IdPengnJlr appevea nemre me rnb daya .e Ynp.leaua In. ue[uu 1 m fp1e(e(M_ j�J aw('m> J' j nano and emJa rl.mP er r[J. ml. .7 . e. .1 .��1'. �Qf�A] :: T mr [omminlen eavlrel:�-�- -�� f- �- `lam.- �:�•.. IarY Puull[ SEAL-TAe1P NORTH CAROLINA, ...C.n.IY. 1, a Notary Public of tar CeualY ana SIJe afinenud. [eJIfY Ina_ ----- ____________________________________ n pe.a nanr [am. h.Iee. m. lnl. ear ..a ..anpvleeeae Caul ha 1• NORTH CAROLINA: BEAUFORT COONTT The foregoing lsraraxld of %IN �A FAAI 'euly Notary Public/Notaries Public Worn remfrcd to be wand. �jx ------ Filed (Cu, registration end eeeordrd in III office in Book T!?6 , page This �yL day of �BJ. {may Z, 19 Q]_at o'clock .NI 1 KIRK W. MIZELLE, RagW,,fDrcdr Dep"YR elrre,!mores,. . non. •••• .—I ... I 11111I.C.Ce I1) .1 --- --------------------------------------------- —..- -------------- --- nnrl onulw [.n1J. xnH mrrrumenl ...a a-- --' nrrl re e1 .na rnlr relnn.Ja are eaiY .e J.-lrea at Ina e.-e and isms .na In Ia. v.au ana r.I1 an..n .n w1 p.v n.reJ. ___-.__-_.- ...............REGISTER or oeeOr roR..--.-._.-.-_----- ----___.__cuu!7' ur............................ --------- -------------------------- uses-!/Anlltm-- neJJn.rvelm L �\ araator — pran•�.. _. Indexed i jnntor _ NC. our A[wr rvrm NoJelgl6. a[rhrae19r1_ n �.�1rq •..1rvn-ne.rc au ur._reu LL�r .r. u,rnfurm, y,ye, ipy„p,,,q rrp,