20030286 Ver 1_COMPLETE FILE_20030310

OCT-21-2003 04:05 PM FRED KEDJIERSKI *KEDCOp 704 872 3970
Wetlands 401 Unit
And
Washington Regional Office
Subject: Mitigation Satisfaction
Fred Kedjlerski
510 DAVIE Ave.
Statesville, NC 28677
704838-1968
FAX [phone]
c"Jl+?Ilsouth.net
DWQ # 03-0286 Pamlico County March 12, 2003
Subject Proporty, Lot # 22. Section 1& 11. Orchard ('reel: Subdivision, ilenimwla Drive. Oriental, NC
Orchard (:'reek [03-04-10, 27-134, 5A I IQ %A' (High Quality) NSW (Nutrient Sensifte) I
P.01
APPROVAL of Neuse River Riparian Buffer Protection Rules MINOR VARJANCE [15A
NCAC 2B.0233(9)(b)]
To comply with the mitigfation the following was selected from the manual "Common Wetland
Plants of North Carolina°' and planted;
Trees (average 5 foot.);
Birch, River 1
Cypress, Bald 1
Maple. Red 1
Osk, Water 1
Oak, Willow 1
Sycamore 2
Tulip Poplar 2
Magnolia 1
10
Shrubs (average 4 foot);
Blueberry 12
Privet, Chinese 7
19
Each plant was marked with an identifing tag placed in the branches and planted in the protected
bufFers. The next page contains the reciepts from Williams Garden in Merritt, NC (one for trees
and one for shrubs) The following two pages are the original letter of Approval.
If there is any issue with this satisfaction of mitigation, please do not hesitate to contact me.
Thank you,
Fred Dennis Kedjierski
OCT-21 -2003 04:05 PM FRED KEDJ I ERSK I *KEDCO* 704 872 3970
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OCT-21-2003 04:06 PM FRED KEDJIERSKI *KEDCO* 704 872 3970
?? tA,q ti?
Q ?
Little Tree Trust
Attn: Mr. Robert Morris. Trustee
1722 North M Street
Lakeworth, Florida 33460
P.03
Mluhael F. Easley
Gowme.f
Wilem G. noes, Jr., 8"retery
DPohrnent of Environrnsnt and Nalural Ramilre*o
Alar> W. Klimek. PE, Ulrogpr
Division of Water,Guttltty
March 12, 2003 DWQ # 03-
0286
Pamlico County
page 1 of 2
Subject Property, Lot a 22, Section I & 11, Orchard Creek Subdivision, Peninsula Drive, Oriental, NC
Orchard Creek 103-04-10,27-134, SA HQW (High Quality) NSW (Nutrient Sensitive)!
APPROVAL of Nause River Riparian Buffer Protection Rules MINOR VARIANCE [15A NCAC 20.0233(9)(b))
Dow Mr. Norris:
You have our approval. In accordance with the conditions listed below, to impact approximately 880 W at Zone 2 of the
protected rulers to construct a single family residential home at the subJect property as described within you-- variance
request dated March 8, 2003 and received by the Division of Water Quality (DWQ) WOtlands/401 Unit on March 10, 2003.
This letter shall act as your Minor Variance approval as described within i5A NCAC 23 0233(9)(b). In addition to this
approval, you should obtain or otherwise comply with any other required federal, state or local permits before you go
ahead with your probed Including (but not limited to) Erosion and Sediment Control. Non-discharge and CAMA.
This approval is only valid for the purpose and design that you described In your application. If you change your project,
you must notify us and you may be required to send us a new application. If the property Is sold, the new owner(s) (e.g.,
Mr. & Mm. Fred Kedflerskl, potential buyers) must be giver) a copy of this variance approval and are thereby responsible
for complying with all conditions. For this approval to be valid, you must follow any conditions listed below.
Condition*;
1. No Zone I Impacts -No Impacts (except for "exempt' uses as identified within 15A NCAC 28.0233) shall
occur to Zone 1 of the protected riparian buffers unless otherwise approved by the DWQ.
2. Protective Fencing - The outside Zono 1 buffer boundary approved under this authorization shall be
clearly marked with orange fabric fencing (or similar material) for the areas that have been approved to
infringe within the buffer prior to any land disturbing activities to onsura compliance with 15A NCAC 28
.0233, The protective fencing should be removed once construction Is complete.
3. Deed Notifications - Deed notifications or similar mechanisms shah be placed on all retained Jurisdictional
wetands, waters and protective buffers In order to assure compliance for future wetland, water and buffer
impact, These mechanisms shall be put in place prior to Impacting any wetlands, waters and/or buffers
approved for Impact under this Certification and variance approval.
4. Diffuse Flow - An additional condition is that all storm water shall be directed as diffuse flow at non-erosive
velocities through the protected stream buffers and will not re-concentlrelte before discharging Into the
stream as Identified within 16A NCAC 2B .0233(3). No direct discharge of storm water or piping through
the buffer is allowed.
5. duffer Mitigation / Additional Plantings • You are required to mitigate for impacts to the protected riparian
buffers. The required area of mitigation to compensate for Impacts to the protected riparian butters Is
1,200 square feet as required under this variance approval. (Continued on next page.)
North Carolina Dwislon of Water Quality, 401 WallarKla Cedirk;atlon Unit
16$0 Mail Service Canter, Ralolgh, NC 27169&-1860 (Malloy Address)
2321 Crabtrw Blvd., Raloiph. NO 5-7604-2280 OGAtlon)
9i9-733-1786 (phcm), 019.13348$43 (fair), rmpArn7a enr.stato.nn uK'newettandal
OCT-21-2003 04:06 PM FRED KEDJIERSKI *KEDCO?p 704 872 3970 P.04
Page 2 of 2
the DWO has determined that you may satisfy this mitlgaation requirement by planting at least nine (9) native woody trees
and nineteen (19) woody shrubs within the retained portions of the protected butters. You must ensure their survival for a
period of a least five (5) years. You are required to replace any of these trees or shrubs that die within this five (5) year
period. You are required to provide proof in writing that the trees and shrubs have been planted within one year of the
data of this letter. The proof of plantings shall be submitted to the Wetlands1401 Unit and copied ro the Washington
Regional Office,
If planting the required trees and shrubs as described above is not feasible, then you may choose to propose a payment
into the Riparian Buffer Re*oralion Fund administered by the Wetlands Restoration Program as per 13A NCAC 02B
•0242(7) to satisfy the required mitigation area of 1,290 square feet. If you choose to make this payment In lieu of the
plantings, then send a written request (not payment) to the Wetiaands/401 Unit and copy the Washington Regional Office,
Requests for appeals of this decision shall be made to the Office of Administrative Hearings. If you do not accept any of.
the conditions of this approval, you may ask for and adjudicatory hearing. You must act within 80 days of the date that you
receive this letter, To esk for a hearing, send a written petition which conforms to Chapter 1 SOD of the North Carolina
General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NO 27889-8714. This
approval and Its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under the Neuse River Riparian Buffer Protection Rules
[16A Nt Ac 28 -0233(g)(b)). Please call Mr, Bob Zarzecki at [phone] If you have any questions or require copies of
our rules or procedural materfais.
Sincerely,
ai 9111 PE,
DWO
cc: Charles Carpenter, Mariner Realty, Inc., P.O. Box 750. Oriental, NC
28571 Tom Steffens, DWQ Washington Regional Office USAGE
Washington Regulatory Field Office Terry Moon, DCM Washington
District Office Fife copy
Central Flies ---
DWQ 030206
March 12, 2003
bz
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, PE, Director
Division of Water.Quality
March 12, 2003
Little Tree Trust
Attn: Mr. Robert Norris, Trustee
1722 North M Street
Lakeworth, Florida 33460
DWO # 03-0286
Pamlico County
Page 1 of 2

Subject Property: Lot # 22, Section I & II, Orchard Creek Subdivision, Peninsula Drive, Oriental, NC
Orchard Creek [03-04-10, 27-134, SA HQW (High Quality) NSW (Nutrient Sensitive)]
APPROVAL of Neuse River Riparian Buffer Protection Rules MINOR VARIANCE [15A NCAC 2B.0233(9)(b)]
Dear Mr. Norris:
You have our approval, in accordance with the conditions listed below, to impact approximately 860 ft2 of Zone 2 of the
protected buffers to construct a single family residential home at the subject property as described within your variance
request dated March 6, 2003 and received by the Division of Water Quality (DWQ) Wetlands/401 Unit on March 10, 2003.
This letter shall act as your Minor Variance approval as described within 15A NCAC 2B .0233(9)(b). In addition to this
approval, you should obtain or otherwise comply with any other required federal, state or local permits before you go
ahead with your project including (but not limited to) Erosion and Sediment Control, Non-discharge and CAMA.
This approval is only valid for the purpose and design that you described in your application. If you change your project,
you must notify us and you may be required to send us a new application. If the property is sold, the new owner(s) (e.g.,
Mr. & Mrs. Fred Kedjierski, potential buyers) must be given a copy, of this variance approval and are thereby responsible
for complying with all conditions. For this approval to be valid, you must follow any conditions listed below.
Conditions:
1. No Zone 1 Impacts - No impacts (except for "exempt' uses as identified within 15A NCAC 213.0233) shall
occur to Zone 1 of the protected riparian buffers unless otherwise approved by the DWQ.
2. Protective Fencing - The outside Zone 1 buffer boundary approved under this authorization shall be
clearly marked with orange fabric fencing (or similar material) for the areas that have been approved to
infringe within the buffer prior to any land disturbing activities to ensure compliance with 15A NCAC 213
.0233. The protective fencing should be removed once construction is complete.
3. Deed Notifications - Deed notifications or similar mechanisms shall be placed on all retained jurisdictional
wetlands, waters and protective buffers in order to assure compliance for future wetland, water and buffer
impact. These mechanisms shall be put in place prior to impacting any wetlands, waters and/or buffers
approved for impact under this Certification and variance approval.
4. Diffuse Flow - An additional condition is that all stormwater shall be directed as diffuse flow at non-erosive
velocities through the protected stream buffers and will not re-concentrate before discharging into the
stream as identified within 15A NCAC 2B .0233(5). No direct discharge of stormwater or piping through
the'buffer is allowed.
5. Buffer Mitigation / Additional Plantings - You are required to mitigate for impacts to the protected riparian
buffers. The required area of mitigation to compensate for impacts to the protected riparian buffers is
1,290 square feet as required under this variance approval. (Continued on next page.)
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetiands/
Page 2 of 2
The DWQ has determined that you may satisfy this mitigation requirement by planting at least nine (9)
native woody trees and nineteen (19) woody shrubs within the retained portions of the protected buffers.
You must ensure their survival for a period of a least five (5) years. You are required to replace any of
these trees or shrubs that die within this five (5) year period. You are required to provide proof in writing
that the trees and shrubs have been planted within one year of the date of this letter. The proof of
plantings shall be submitted to the Wetlands/401 Unit and copied to the Washington Regional Office.
If planting the required trees and shrubs as described above is not feasible, then you may choose to
propose a payment into the Riparian Buffer Restoration Fund'administered by the Wetlands Restoration
Program as per 15A NCAC 02B .0242(7) to satisfy the required mitigation area of 1,290 square feet. If
you choose to make this payment in lieu of the plantings, then send a written request (not payment) to the
Wetlands/401 Unit and copy the Washington Regional Office.
Requests for appeals of this decision shall be made to the Office of Administrative Hearings. If you do not accept any of
the conditions of this approval, you may ask for and adjudicatory hearing. You must act within 60 days of the date that
you receive this letter. To ask for a hearing, send a written petition which conforms to,Chapter 150B of the North Carolina
General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. This
approval and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under the Neuse River Riparian Buffer Protection Rules
[15A NCAC 2B.0233(9)(b)]. Please call Mr. Bob Zarzecki at [phone] if you have any questions or require copies
of our rules or procedural materials.
Sincerely,
cc: Charles Carpenter, Mariner Realty, Inc., P.O. Box 750, Oriental, NC 28571
Tom Steffens, DWQ Washington Regional Office
USACE Washington Regulatory Field Office
Terry Moore, DCM Washington District Office
File copy
Central Files
DWQ 030286
March 12, 2003
bz

i
REALTY, INC. ®®
Sales • Property Management • Appraisals • Development
February.28, 2003
Tom Steffens
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
WETLANDS/ 401 GROUP
MAR 1 7 2003
WATER QUALITY SECTION
P1r? 1 0 20113
Re: General Variance Request - Neuse River Buffer Rules - Lot #22, Orchard
Creek Estates, Peninsula Drive on Orchard Creek
Dear Tom:
Enclosed please find the above referenced Variance Request Form for Lot #22
Orchard Creek Estates Subdivision. This is one of the two lots that you
came to see with me on December 9, 2002. The form has been signed and dated
by the current owner, Robert Norris, trustee, Little Tree Trust. Also
enclosed is an in depth survey of the lot showing the location of the intended
home and septic system, a color map of the area, the septic permit, and a
subdivision map showing lot #22.
Since this subdivision was recorded in 1988, I hope a general variance will
be no problem.
The lot is under contract and we would like to close as quickly as possible.
The variance is the last step in the closing process.
Thank you for your time and consideration. If I can be of further assistance,
please contact me at 252-249-1014.
Sincerely,
Charles Carpe4ntr
Mariner Realty Inc.
cc; Bob Zarzecki, DWQ, 2321 Crabtree Blvd. Raleith,.NC 27604-2260
Post Office Box 750 • Oriental, North Carolina 28571 • [phone]
www.orientalncwaterfront.com
® Printed on recycled paper 800-347-8246
r-
OFFICE USE ONLY: Date Received Request #
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Variance Request Form - for Minor Variances
Protection and Maintenance of Riparian Areas Rules
NOTE: This form may be photocopied for use as an original.
Please identify which Riparian Area Protection Rule applies.
Xax Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC .0233)
u Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC.0259)
Part 1: General Information
(Please include attachments ii the room provided is insufficient.)
1. Applicant's name (the corporation, individual, etc. who owns the property):
Little Tree Trust - Robert Norris, Trustee
2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: Robert Norris
Title: Trustee
Street address: 1722 North M Street
City, State, Zip: Lakeworth, Florida 33460
Telephone: 61 ) 547-1537
Fax: 561 ) 547-1537
3. Contact person who can answer questions about the proposed project:
Name: Charles Carpenter
Telephone: (252 ) 249-1014
Fax: 252 ) 249-2700
Email: [e-mail]
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Lot #22 Orchard Creek Subdivision Section I and II
5. Project Location:
Street address: Lot #22 Orchard Creek Subdivision on Peninsula Drive
City, State, Zip: Oriental, NC 28571
County: Pamlico
Latitude/longitude: _ 350 03' 34" N / 760 38' 43" W
Version 1: February 2000
r-
6. Directions to site from nearest major intersection (Also, attach an 8'h x 11 copy of the USGS
topographic map indicating the location of the site):
From intersection of SR 1321 and Hwy 55 (Moores Corner). go east on SR
1321(Straight Road) for 2.5 miles, turn right on SR 1317(Orchard Creek_
Road) and go for 2.0 miles, turn right on Peninsula Drive and go 0.4
miles to Lot #22 (right side of the road).
7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
Orchard Creek
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B
.0315 (Neuse) or.0316 (Tar-Pamlico)]: SR
8. Which of the following permits/approvals will be required or have been received already for
this project?
Required: Received: Date received: Permit Type:
CAMA Major
CAMA Minor
401 Certification/404 Permit
yes 2003 On-site Wastewater Permit
NPDES Permit (including stormwater)
Non-discharge Permit
_ Water Supply Watershed Variance
Others (specify)
Part 2: Proposed Activity
(Please include attachments if the room provided is insufficient.)
Description of proposed activity [Also, please attach a map of sufficient detail (such as a plat
map or site plan) to accurately delineate the boundaries of the land to be utilized in carrying
out the activity, the location and dimension of any disturbance in the riparian buffers
associated with the activity, and the extent of riparian buffers on the land. Include the area
of buffer impact in ft2.]:
Construction of a single family home by the buyers of this lot (Mr. and
Mrs. Fred Kedjierski). The area of impact in zone 2 is 860 sq. ft.
2. State reasons why this plan for the proposed activity cannot be practically accomplished,
reduced or reconfigured to better minimize or eliminate disturbance to the riparian buffers:
Location of the buffer area and specific location of the septic svstem
reduces the buildable area to those occupied by the proposed home and
garage.
3. Description of any best management practices to be used to control impacts associated with
the proposed activity (i.e., control of runoff from impervious surfaces to provide diffuse flow,
re-planting vegetation or enhancement of existing vegetation, etc.):
Both replanting and enhancement of existing vegatation. i.e. adding
hardwoods and wax myrtles after construction.
Variance Request Form, page 2
Version 1: February 2000
1r-
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
The variance is needed to build this home. Any placement other than the
one requested would violate subdivision set backs and area needed for the
septic system
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
The extensive nature of the coastal vecatation and resultinc buffer zones
and specific location of the septic system impacts the area available
for building.
(3) If economic hardship is the major consideration, then include a specific explanation of the
economic hardships and the proportion of the hardship to the entire value of the project.
If a variance is not granted, the buyer will not be able to build the
home that they desire. Buyers have reduced the home size to create
the least possible impact.
Part 3: Deed Restrictions
By your signature in Part 5 of this application, you certify that all structural stormwater best
management practices required by this variance shall be located in recorded stormwater
easements, that the easements will run with the land, that the easements cannot be changed or
deleted without concurrence from the State, and that the easements will be recorded prior to the
sale of any lot.
Part 4: Agent Authorization
If you wish to designate submittal authority to another individual or firm so that they may provide
information on your behalf, please complete this section:
Designated agent (individual or firm): Charles Carpenter, Mariner Realty I
Mailing address: PO Box 750
City, State, Zip: Oriental, NC 28571
Telephone: [phone]
Fax: [phone]
Email: [e-mail]
Part 5: Applicant's Certification
I, Robert Norris (print or type name of person
listed in Part I, Item 2), certify that the information included on this permit application form is
correct, that the project will be constructed in conformance with the approved plans and that the
deed restrictions in accordance with Part 5 of this form will be recorded with all required permit
conditions.
Signature:
Date:
?2"W?*
3
Variance Request Form, page 3
Version 1: February 2000
t
65:L£:LO £OOZ `LZ'gaj u6p'VIq a1A31£665)IIo\"'
PENINSULA DRIVE \
1\ 50' R/W
p19483-
S060 53 -'
30•
! I W I ( /?
.00, In
I
a j
I xll I I i .v
..?' PINE TREE 8E lO.O'
ABOVE MEAN SEA GoroG° L-- ' I
LEVEL O. •?
,ZPC A. SLIDE 36-8
D
W W
"0 5
C>
M
O
AREA IN DWO SETBACKS OcIJ
860.0 Sq FT IN ZONE TWO
0.0 Sq Ft IN ZONE ONE ------._..?
O l jd
3 z
O
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+ Iz '
iW I
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NOTES. i t
FOR REFERENC
PC A. SLIDE 36-8 D
THE RATIO OF PRECISION WAS
CALCULATED AT 110,000+
EIP - EXISTING IRON PIN
MHWL - MEAN HIGH WATER LINE
THIS SURVEY IS OF AN EXISTING PARCEL
AND DOES NOT CREATE A NEW STREET
OR CHANGE AN EXISTING ONE.
THIS SURVEY IS SUBJECT TO ANY FACTS
THAT MAY BE DISCLOSED BY A FULL AND
ACCURATE TITLE SEARCH.
THIS PROPERTY IS LOCATED IN A FLOOD
HAZARD AREA BASED ON "FIRM" PANEL
370181-0295-B. ZONE A7
BASE FLOOD ELEV 9.0', DATED 9/4/85.
P. 0. BOX 303
ARAPAHOE. NC 28510
TELE. * (252) 249 - 0226
DEC 7.2002 1 MRS
•?
O
O
o6%
?i
BECK TO BE +
CUT TO FIT
SETBACK LINE
+ E? 00
?-y0
24 .uVl*
50 ORCHARD CREEK
LOT 22, ORCHARD CREEK ESTATES SEC. 1 & 2
PAMLICO
TOWNSHIP *2, PAMLICO CO. NORTH CAROLINA
60' 0' 60' 120'
SCALE= 1" - 60'
FRED KEDJIERSKI
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IMPROVEMENT PERMIT
rRealit0L DRIVE
lwner wner: Robert Norris c/o Marine , y-
wner Address: P.O. Box 750 501 R/W
wner Address(2):Oriental, N.C. 28571
? Phone #:[phone]
Property Address:Orchard Creek
PIN X08-66-22
Record #LOT # 22
Establishment Type: Home
Type of Well:Public Well
Design Flow (GPD):360
Initial Site '
Wastewater System: Chambered System
Long Term Acceptance Rate GPD/SQFT):.375
Trench Width:3 FT
Trench Spacing (OC) 9 FT 1 to % repair (LPP)?
Trench Bottom From NGL:-12 IN
Septic Tank Volume: 1000 GAL
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Date 2/14/2003
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Post Office Box 7 ;0 Oriental, North Carolina 28571 1?1
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_v
080284
03
n4l .6
WETLANDS 1401 CROUP
February.28, 2003
Tom Steffens
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
REALTY,
MAR X U 2003
WATER QUTY SECTION
Re: General Variance Request - Neuse River Buffer Rules - Lot #22, Orchard
Creek Estates, Peninsula Drive on Orchard Creek
Dear Tom:
Enclosed please find the above referenced Variance Request Form for Lot #22
Orchard Creek Estates Subdivision. This is one of the two lots that you
came to see with me on December 9, 2002. The form has been signed and dated
by the current owner, Robert Norris, trustee, Little Tree Trust. Also
enclosed is an in depth survey of the lot showing the location of the intended
home and septic system, a color map of the area, the septic permit, and a
subdivision map showing lot 422.
Since this subdivision was recorded in 1988, I hope a general variance will
be no problem.
The lot is under contract and we would like to close as quickly as possible.
The variance is the last step in the closing process.
Thank you for your time and consideration. If I can be of further assistance,
please contact me at 252-249-1014.
Sincerely, n? cc,
Charles Carpenter
Mariner Realty Inc.
cc; Bob Zarzecki, DWQ, 2321 Crabtree Blvd. Raleith, NC 27604-2260
Post Office Box 750 • Oriental, North Carolina 28571 • [phone]
www.orientaincwaterfront.com
® Printed on recycled paper 800-347-8246
Sales • Property Management • Appraisals • Development
OFFICE USE ONLY: Date Received Request #
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Variance Request Form - for Minor Variances
Protection and Maintenance of Riparian Areas Rules
NOTE: This form may be photocopied for use as an original.
Please identify which Riparian Area Protection Rule applies.
u Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC.0233)
? Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC.0259)
Part 1: General Information
(Please include attachments it the room provided is insufficient.)
1. Applicant's name (the corporation, individual, etc. who owns the property):
Little Tree Trust - Robert Norris, Trustee
2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: Robert Norris
Title: Trustee
Street address: _ 1722 North M Street
City, State, Zip: Lakeworth, Florida 33460
Telephone: 561 ) 547-1537
Fax: [phone]
______
3. Contact person who can answer questions about the proposed project:
Name: Charles Carpenter
Telephone: 2( 52 ) 249-1014
Fax: (252 ) 249-2700
Email: [e-mail]
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Lot 22 _Orchard Creek Subdivision Section I and II
5. Project Location:
Street address: Lot 4/22 Orchard Creek Subdivision on Peninsula Drive
City, State, Zip: Oriental, NC 28571
County: Pamlico
Latitude/longitude: 350 03' 34" N / 760 38' 43" W
Version 1: February 2000
6. Directions to site from nearest major intersection (Also, attach an 8 Yx 11 copy of the USGS
topographic map indicating the location of the site):
From intersection of SR 1321 and Hwy 55 (Moores Corner) go east on SR
_ 1321(Straht Road) for 2.5 miles turn ri ht on SR 1317 (Orchard ;reek
Road) and go for 2.0 miles, turn right on Peninsula Drive and go 0.4
.miles to Lot #22 (right side of the road).
7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
Orchard Creek _
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B
.0315 (Neuse) or.0316 (Tar-Pamlico)]: SR
8. Which of the following permits/approvals will be required or have been received already for
this project?
Required: Received
_yes
Date received:
2003
Permit Type:
CAMA Major
CAMA Minor
401 Certification/404 Permit
On-site Wastewater Permit
NPDES Permit (including stormwater)
Non-discharge Permit
Water Supply Watershed Variance
Others (specify)
Part 2: Proposed Activity
(Please include attachments if the room provided is insufficient.)
Description of proposed activity [Also, please attach a map of sufficient detail (such as a plat
map or site plan) to accurately delineate the boundaries of the land to be utilized in carrying
out the activity, the location and dimension of any disturbance in the riparian buffers
associated with the activity, and the extent of riparian buffers on the land. Include the area
of buffer impact in ft2.]:
Construction of a single family home by the buyers of this lot (Mr. and
Mrs. Fred Kedjierski). The area of impact in zone 2 is 860 sq. ft.
2. State reasons why this plan for the proposed activity cannot be practically accomplished,
reduced or reconfigured to better minimize or eliminate disturbance to the riparian buffers:
Location of the buffer area and specific location of the septic system
reduces the buildable area to those occupied by the proposed home and
RaraQe.
3. Description of any best management practices to be used to control impacts associated with
the proposed activity (i.e., control of runoff from impervious surfaces to provide diffuse flow,
re-planting vegetation or enhancement of existing vegetation, etc.):
Both replanti. na and enhancement of existing_vegatation, i.e. adding
hardwoods and wax myrtles after construction.
Variance Request Form, page 2
Version 1: February 2000
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
The variance is needed to build this home. Any placement other than the
one requested would violate subdivision set backs and area needed fnr the
septic system.
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
The extensive nature of the coastal vegatation and resulting buffer zones
and specific location of the septic system impacts the area available
for building.
(3) If economic hardship is the major consideration, then include a specific explanation of the
economic hardships and the proportion of the hardship to the entire value of the project.
If a variance is not ranted, the buyer will not be able to build the
home that they desire. Buyers have reduced the home size to create
the least possible impact.
Part 3: Deed Restrictions
By your signature in Part 5 of this application, you certify that all structural stormwater best
management practices required by this variance shall be located in recorded stormwater
easements, that the easements will run with the land, that the easements cannot be changed or
deleted without concurrence from the State, and that the easements will be recorded prior to the
sale of any lot.
Part 4: Agent Authorization
If you wish to designate submittal authority to another individual or firm so that they may provide
information on your behalf, please complete this section:
Designated agent (individual or firm): Charles Carpenter, Mariner Realty Inc.
Mailing address: PO Box 750
City, State, Zip: Oriental, NC 28571
Telephone: [phone]
Fax: [phone]
Email: [e-mail]
Part 5: Applicant's Certification
I,__ Robert Norris (print or type name of person
listed in Part I, Item 2), certify that the information included on this permit application form is
correct, that the project will be constructed in conformance with the approved plans and that the
deed restrictions in accordance with Part 5 of this form will be recorded with all required permit
conditions.
Signature:
Date:
Variance Request Form, page 3
Version 1: February 2000
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NOTES: o i l FOR REFEREN
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THE RATIO OF PRECISION WAS
CALCULATED AT 110,000+
EIP - EXISTING IRON PIN
MHWL - MEAN HIGH WATER LINE
THIS SURVEY IS OF AN EXISTING PARCEL
AND DOES NOT CREATE A NEW STREET
OR CHANGE AN EXISTING ONE.
THIS SURVEY IS SUBJECT TO ANY FACTS
THAT MAY BE DISCLOSED BY A FULL AND
ACCURATE TITLE SEARCH.
THIS PROPERTY IS LOCATED IN A FLOOD
HAZARD AREA BASED ON "FIRM" PANEL +
370181-0295-B, ZONE A7
BASE FLOOD ELEV 9.0'. DATED 9/4/85.
MARK R. LEE
IFOW ESSMIX LAt? SURVEYOR
P. O. BOX 303
ARAPAHOE, NC 28510
TELE. $ (252) 249 - 0226
r-_--DEC 7.2002 1 MRL
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FRED KEDJIERSKI
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LOT 22, ORCHARD CREEK ESTATES SEC. 1 & 2
PAMLICO
TOWNSHIP 02, PAMLICO CO. NORTH CAROLINA
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IMPROVEMENT PERMIT
jtL DRIVE
Owner:Robert Norris c/o Mariner Realit
.Owner Address:P.O. Box 750 501 R/W
Owner Address(2):Oriental, N.C. 28571 ---
Owner Phone #:[phone] _
'Property Address:Orchard Creek
PIN X08-66-22 9
Record #LOT # 22 ¦
Establishment Type:Home
Type of Well:Public Well
Design Flow (GPD):360?
Initial Site /
Wastewater System: Chambered System 0
Long Term Acceptance Rate GPD/SQFT):.375
Trench Width:3 FTC
Trench Spacing (OC) 9 FT 1 IO % repa r (LPP) r
Trench Bottom From NGL:-12 IN I
Septic Tank Volume: 1000 GAL a
db4mavw IN
1
A13OVE MEAN SEA
LEVEL
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40.00 feet 0
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1:480 3 80, 41: (?
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AREA IN DWO SETBACKS
140A * ZONE TWO S
1115.0 Ft 011 ZIP ONE
??'?,foot"
Authorized Agent:,
PW TREE

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Date 21i412063-
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1.800347.8246
kAREALTY, INC.
Post Office Box 750.Oriental, North Carolina 28571

Orchard

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Estates 422

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Lot sizes and dimensions
are approximations
a Complete items 1, Z and 3. Also complete
item 4 if Restricted Delivery is desired.
I' Print your name and. address on the reverse
so that we can return the card to you,
Ill' Attach this card to the back.of the mailpiece,
or on the front if space permits.
1. Article.Addressed to.
Creedmoor Development
7612 Literary Lane
Wake Forest, NC 27587
DWQ# 03-0286 - Granville County
2. Article' Number
(transfer from sere10labelj-
,m 3811, August 2001
A. Siq at&
Alert
'?? ?.AddresseE
B. Received by (FWnted N-4 I c t-A 9A
:ddA 0. S s
D. Is delivery addrbw diffArd from item 11 ? es
If YES, enter delivery address below: No

3. Service Type
? Certified mail ? Express Mail,-
0 Registered ? Return Receipt for Merchandis(
? Insured Mail ? C.O.D.
4 R tricted Delivery? (Extra Fee) d
-- ,l es Yes
7002 3150 0004 9315 2592
Domestic Return Receipt
102595-0'
UNITED STATES POSTAL SERVICE First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10'

• Sender: Please print your name, address, and ZIP+4.in`this box •
b
f.
NC DENR Division of Water Qr.:.:'ity
Wetlands/401 Certification Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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