20100111 Ver 1_Minor Variance_20100210

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
02010
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 (Buffer) Protection Rule applies.
? Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC 02B
.0233)
Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC 0213.0259)
? Catawba River Basin: Protection and Maintenance of Existing Riparian
Buffers (15A NCAC 0213.0243)
Part 1: General Information
(Please include attachments if the room provided is insufficient.)
1. Applicant's name (the corporation individual, etc. who owns the property):
)742 e
2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: H-Ey A-iAJ,;t)N 6a)Ay_ _
Title: _ gL? _
Street address: A)A
City, State, Zip: C
Telephone: csa }
Fax:
3. Contact person who can ,answer que do s about the proposed project:
Name: t-t
Telephone: A5a)?? - 53
Fax: V6 249
Email: o -z PanA62TI aLLCTt1_-Wz , (z1`'a
Version 4: July 2009
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, , veration and maintenance agreements, etc.):
7'A `I n,_hA 14 1 .1 L?) R n i ? li E C, A R AC, r Ann i -r I a x\
5. Project Location:
Street address:
City, State, Zip:
County:
Latitude/longitude:
W
6. Date property was purchased: I t41- E 21 Tr=y
7. Is your project in one of the Coastal Counties covered under the Coastal Area
Management Act (CAMA)?/NO
7a. If you answered yes to question 1, in which AEC do you fall (30 ft or 75 ft) ?_
7b. What is the total percent of impervious cover that you have proposed within the AEC?
Lam- (Fill in the blank).
8. Directions to site from nearest major intersection (Also, attach an 8 1/2x 11 copy of the USGS
topographic map indicating the location of the site
A _ I_E T NN I LLI S Ay
1 C -t' -n ?4 T a S Pt21 ? , CS P_ E LE_ El: Qt4
L _ LEtitJ D
KL*?o IS I N Kt C? l?s NET E K 1K0 !gy p
Tu??? r??YP?-rE
9. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B
.0315 (Neuse) or.0316 (Tar-Pamlico)]: 5? DNS W
10. 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
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/purpose 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.]:
5F_ E ATTLGRF.h
Variance Request Form, page 2
Version 4: July 2009
1
2. State reasons why this plan for the proposed activity cannot be practically accomplished,
reduced or reconfi ured to better minimize or eliminate disturbance to the riparian buffers:
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-plantin vegetation or enhancement of existing vegetation, etc.):
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule_
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
(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.
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:
Variance Request Form, page 3
Version 4: July 2009

Designated agent (individual or firm):
Mailing address: 6 f,
it r-
City, State, Zip:
Telephone:
Fax:
Email:
Part 5: Applicant's Certification
I, H2 'X' 9.b2 4 )5 e Ltd ? (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:
Title:

Variance Request Form, page 4
Version 4: July 2009
Ar4 u r U2--M
n
Part 2, Proposed Activity
1. Plot map and proposed site plan for addition are attached. The plan is based on the 50' buffer
requirement but because of the limitations imposed by the location of the existing home, the garage
requires a 335 SQFT infringement on the 50' buffer.
2. Placement of the attached garage addition is limited by the manmade gut, the location of the existing
underground utilities, service entrance, main electrical panel, heat pump, septic system, other buffer
locations and the need for direct access into home. Jay Browne's physician has stated his need for
direct protected access to insure his safety.
3. Mechanical equipment will be limited to within the foot print of the proposed addition whenever
possible. We are willing to replant, reseed and make use of filter cloth as recommended.
4. (I)Without use of protected home access our use of our home will be impacted. (2) If the unique shape
of the lot, the man made gut and the marsh area were not present we would not be impacting the 50'
buffer..(3)We have a significant investment in our home and that would be threatened should we not
be able to access it freely. (4)My husband Jay Browne is recognized as physically handicapped
according to the guidelines set forth by the ADA

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Permit No. e79 /
Date: 0
Environmental Health Section
Beaufort County Health Department
220 N. Market St.
Washington, North Carolina 27889
[phone]
OPERATION PERMIT
Owner: Phone: W4?
Addressaea-SZ-9a/' ? u ber:d
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State Road Number.- 14, 0 T T?,Zirtictur : 1-bkkS6
Septic Tank: PV115 T7?y Pump Tank: 0 Yes e No
10-DIGITPIN-7 O _7_4 -f r7kr7
Additional for all systems: Landscape system area for surface water runoff and grass.
Do not place drive or any building over the system area or repair area.
Remarks:
existing Sy
Nj
S? s? •,
SYSTEM DIAGRA
Environmental Health Specialist: Date: q as-
CHECK LIST FOR APPLICAI`ION COMPLETION
(SEPTIC TANK PERMIT)
[ ] DATE OF APPLICATION `),® ('D 3
[] OWNER'S NAME e4GWNlP- , n
[ ] LOCATION ADDRESS ??-rt3 c? ?o-?c< I'`? rsv +R
[ ] PHONE NUMBER WHERE YOU CAIN! REACHED 2 Z g - b ©?I
[ ] LOCATION OF PROPERTY (.SPECIFIC .DIRECTIONS) H e- Sxo??
NC TAX PARCEL IDENTIFICATION NUMBER - 7s l' t i4-DIGITS
[ ] MAP OF PROPERTY OR BOUNDARY SURVEY l
[ ] Qts``
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SITE PLAN: SHOWING DWELLING LOCATION OR PROPOSED LOCATION, DECKS 6
DRIVEWAY, BUILDINGS, POOL, ETC. TO SCALE (SCALE NOT TO EXCEED I" = 40')
[ ] PROPERTY MUST BE STAKED BY FLAGS AT THE CORNERS, MOWED, BUSH HOGGED, ,?fr `
AND IDENTIFIED BY LOT NUMBER`
NOTE; EXISTING,SEPTIC TANKS MUST BE FLAGGED, AND ^
THE TOP MUST Be UNCOVEtED.
.71
TYPE OF INSPECTION
WATER SUPPLY
[ ] SIGNED BY OWNER OF PROPERTY
YOUR APPLICATION CANNOT BE PROCESSED UNTIL ALL OF THE ABOVE ITEMS ARE
COMPLETED OR DONE. ALL OTHER APPLICABLE PERMITS MUST BE SECURED AND
OBTAINED PRIOR TO THIS PERMIT ISSUANCE. THESE MAY INCLUDE: CAMA, LAND
QUALITY CORPS OF ENGINEERS, ETC.
NOTE: YOU MUST CHECK WITH YOUR LOCAL MUNICIPILITY TO SEE IF YOUR PROJECT. OR
LOT IS WITHIN THEIR LOCAL JURISDICTION, PLANNING, ZONING, ETC.
I understand that before this lot/site can be evaluated, the application must be filled out completely
And the tottsite must be:
1. Stared of flagged at the corners
2. Cleared to permit easy access
3 Identified by marker or such on road frontage
I WILL CALL- ENVIRONMENTAL ?iEALTH A'1(1,SZ} TJ T `? r
{_' ; ;?$ t, ?Jti%? lu a Z ? 1?4A va,?sv7rv Y. ^C ??'D g+r ;y,° 'T ?F
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WILL
WILL
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WARRANTED. ,APPLICAWtS,SIGNATLIRE: DATE:
PERSON TAKING THE APPLICATION: DATE:
fi
DATE APPLICANT CALLED:
PERSON RECEIVING CALL:
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SEWAGE `DISPOSAL 'RECORD
4,-'- County Health :Department
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Name of Occupant W?C_ Location _of Building.
W--- :C. )ate :of installation , /?
Name of :Owner -?
Type of Privy.Constructed
/ ` Date inspected 16 1 6,1,1 `S Permit No. ! S
Septic Tank F-,H. A.:Case'-Yes.
,(Material and shape) Capacity. eS?cS'G, 'No
Number of `Bedrooms Type Secondary,Treatment
Source of )Water :Supply ?c J Distance =From Nearest Tol lution Ft.
Contractor,.or 'Plumber - ;Address
Approved ;by
Remarks
N. C. STATE,BOARD'OF iHEALTH
Fora No.-479 Rev. 4/67
Number 'Kew-or.-Repaired
(Over) .

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le_pa}eoot eq_Aew suoI}eIle.}suI }ey} aapao U1 s}uawa.inseaw ui a}iaM 'o}a 'Aliadoad }uaoefpe
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TION OWNER/ / /?/' exx-111(71? WHITE COLORED
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ADDRESS OCCUPANT `'-- WHITE COLORED
PRIVY:
Type wood concrete
Number
New
date
Repaired
date
WATER SUPPLY: j
+,? J `--?
Source
if well, type
(Bored)
(Drilled)
(Dug)
Distance from nearest
pollution ft.
Form No. 473 (Rev, 9/58)
SEPTIC TANK: FHA CASE NUMBER
Material
Dimensions VA CASE NUMBER
CJ
Volume
Type secondary
y? ?-
treatment
nitrification line filter trench
No. of bedrooms 3
Permit Number. r Date
Approved Date
Approved by ?r.1'e,,. i . Aj
Contractor or Plumber,!
Address
Remarks
SEWAGE DISPOSAL RECORD

NOTE: Make skecch of installation showing location of house, septic tanks, privies, water supplies on
adjacent property, etc. Write in measurements in order that installations may be located at
later date.
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BEAUFORT COUNTY HEALTH DEPARTMENT IMPROU
? Permit No
NTS PFRMTT
ate: House [3 Mobile Hom usiness

Location: Address: ? f
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State Road No. • ?-'.
Lot No. Lot Size . Ft.,- f I No, ooms No. Baths
_.: Washin :Machine:. p?
Tank Size:. ( Nitrificatior
Percolation Rate:
Soil Condition:
Water Table:
- Remarks:
IGarbaQe Disposal; Improvements Permit B'.

".:Name : Owner
Contractor:

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Permit No. .

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BEAUFORT COUNTY HEALTH DE Tf1ENT
Data: oc8 - Address: .
Lot No. Type o lli :. o. e o
No. -Baths:
l?ashe
bishwasher:. Garbage Dis posal : Water Su 1 -Source: e Well.,
10istance - Neares t Pollution: tj
} # Plot Plan. r.

[,.C8rtificate of Comple
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L. E. MERCER
ATTORNEY-AT-LAW
WASHINGTON. NORTH FAROLINA
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OF
LINA TETTERTON CANADY s
1, LINA TETTERTON CANADY, of Craven County, North Carolina, do ?r?ake;"
publish and declare this to be my Last Will and Testament and I hereby re';voke?ll
wills and codicils heretofore made by me.
ARTICLE I
PAYMENT OF EXPENSES AND DEBTS. I direct that my funeral expenses,
including the cost of a suitable grave marker, the costs of administering my estate
and all legal debts allowable as claims against my estate, be paid out of the general
funds of my estate as soon as practicable after my death.
In the event that any property or interest in property passing under this
will or by operation of law or otherwise by reason of my death shall be encumbered by
a mortgage or lien,or shall be pledged to secure any obligation, it is my intention
that such indebtedness shall not be charged to or paid from my estate, but that the
devisee, legatee, joint owner taking by survivorship or beneficiary shall take such
property or interest in property subject to all encumbrances existing at the time of
my death.
ARTICLE II
PAYMENT OF TAXES. I direct that all estate, inheritance, succession, death
or similar taxes assessed with respect to my estate herein disposed of, or any part
thereof, or any bequest or devise contained in this my Last Will (which term wherever
used herein shall include any codicil hereto), or on any insurance upon my life or on
any property held jointly by me with another or on any transfer made by me during my
LAW OFMCES
DUNN AND DUNN
3230 COUNTRY CLUB ROAD
DRAWER 1389
NEW BERN, NORTH CAROLINA 28560
TELEPHONE [phone]
PAGE 2
lifetime or on any other property or interest in property included in my estate for
such tax purposes be paid out of my residuary estate and shall not be charged to or
against any recipient, beneficiary, transferee or owner of any such property or
interest in property included in my estate for tax purposes.
ARTICLE III
TANGIBLE PERSONAL PROPERTY. I give and bequeath all of my personal and
household effects of every kind including but not limited to furniture, appliances,
furnishings, pictures, silverware, china, glass, books, jewelry, wearing apparel,
boats, automobiles and other vehicles, and all policies of fire, burglary, property
damage and other insurance on or in connection with the use of this property to my
children surviving me, in approximately equal shares, provided, however, the issue of
a deceased child surviving me shall take per stirpes the share their parent would
have taken had he or she survived me. If my issue do not agree to the division of
the said property among themselves, my Executor shall make such division among them,
the decision of my Executor to be in all respects binding upon my issue. I request
that my Executor and my issue abide by any memorandum by me directing the disposition
of this property or any part thereof. This request is precatory and not mandatory.
If any beneficiary hereunder is a minor, my Executor may distribute such minor's
share to such minor or for such minor's use to any person with whom such minor is
residing or who has the care or control of such minor without further responsibility
and the receipt of the person to whom it is distributed shall be a complete discharge
of my Executor. The provisions of this Article III shall not be construed as
bequeathing any money, securities, choses in action or other intangibles.
LAW OFFICES
DUNN AND DUNN
3230 COUNTRY CLUB ROAD
DRAWER 1389
NEW BERN, NORTH CAROLINA 28560
TELEPHONEi (SIS) 633-3800
PAGE 3
ARTICLE IV
SPECIFIC DEVISE. I give and devise to my daughter, Hix Canady Robinson, if
she shall survive me, all that certain tract or parcel of land lying situate and
being in Richlands Township, Beaufort County, North Carolina, being more particularly
described as follows:
Beginning at a point in the southern right of way line of a dirt
road, said point of beginning being located approximately two
miles eastwardly along the centerline of the dirt road from the
intersection of the dirt road with North Carolina State Road
Number 1901; and from said point of beginning being so located
running thence South 12 degrees 15 minutes West 201.75 feet;
thence North 74 degrees 07 minutes West157.15 feet along and with
the mean high water mark of Goose Creek to a point; thence North
14 degrees 43 minutes East 183.61 feet along and with the mean
high water mark of a ditch; thence North 58 degrees 12 minutes
West 10.83 feet along and with the mean high water mark of a
ditch or canal; thence North 6 degrees 51 minutes East 32.76 feet
along and with the mean high water mark of said ditch or canal;
thence South 74 degrees 39 minutes East 33.56 feet; thence
running due North to the right of way line of the dirt road;
thence along and with the southern right of way line of said dirt
road to the point of beginning, being a portion of that 0.931
acre tract of land shown and delineated on that certain survey of
the property of H. H. Canady prepared by Jones Land Surveying on
May 17, 1987, a copy of said survey being being attached hereto
as Exhibit A.
If my said daughter, Hix Canady Robinson, shall not survive me, I give all of the
aforesaid real estate to her children, namely, Kathy Lynn Stamatelos and Scott Kent
Robinson.
ARTICLE V
RESIDUARY. I give, devise and bequeath all of the rest, residue and
remainder of my property of every kind and description, (including any lapsed
legacies and devises), wherever situate and whether acquired before or after the
LAW OFFICES
DUNN AND DUNN
3230 COUNTRY CLUB ROAD
DRAWER 1369
NEW BERN, NORTH CAROLINA 28560
TELEPHONE: [phone]
PAGE 4
execution of this Will to my children, namely, John Arthur Canady and Nix Canady
Robinson, or in default of my children to their issue per stirpes.
ARTICLE VI
TRUST FOR CHILDREN. If any share or part of my estate shall vest in any
beneficiary who shall be under the age of twenty-one (21) years, I direct that the
share or part which shall thus vest in such beneficiary shall, nevertheless, be held
in trust by my Trustee, hereinafter named, and the income, together with such amounts
out of the principal as my Trustee shall from time to time deem requisite or
desirable, shall be applied for the suitable maintenance, support and education of
such beneficiary in such manner and at such intervals as my Trustee shall determine
until such beneficiary shall attain the age of twenty-one (21) years or sooner die;
and upon the attainment of the age of twenty-one (21) years, the funds and properties
then remaining in the trust for such beneficiary shall be transferred and delivered
to such beneficiary, discharged of all trust; but if such beneficiary shall die prior
to the attainment of the age of twenty-one (21) years, then the said funds and
properties of the trust for such beneficiary shall be transferred and conveyed to his
or her executor or administrator.
ARTICLE VII
EXECUTOR. I hereby nominate, constitute and appoint my children, John
Arthur Canady and Hix Canady Robinson as Co-Executors of my Will and direct that they
shall serve without bond.
ARTICLE VIII
TRUSTEE. I hereby nominate, constitute and appoint John Arthur Canady as
Trustee of all Trusts created under my Will.
LAW OFFICES
DUNN AND DUNN
3230 COUNTRY CLUB ROAD
DRAWER 1389
NEW BERN, NORTH CAROLINA 28560
TELEPHONE: [phone]
PAGE 5
ARTICLE IX
TRUSTEE ACCOUNTINGS. No Trustee of any Trust established herein shall be
required to qualify before any court or judicial authority, or to file any reports or
inventories with any court or judicial authority, and no surety or other bond shall
be required of my Trustee hereunder. My Trustee nevertheless shall maintain proper
records and books of my Trust Estate and annually shall furnish a statement of all
receipts, disbursements, gains and losses of the Trust Estate, together with a
statement of the assets thereof, to each current income beneficiary. The records and
books of the Trust shall be open for inspection at all reasonable times by any
beneficiary under this Trust or by any such beneficiary's guardian or duly authorized
agent or attorney.
ARTICLE X
POWERS. By way of illustration and not of limitation and in addition to
any inherent or implied powers and to the powers set forth in North Carolina General
Statutes section. 28A-13-3(a), the powers enumerated in North Carolina General
Statutes section 32-27 are incorporated by reference and granted to my Executor and
Trustee subject to the restrictions of North Carolina General Statutes section
32-26(b).
By way of illustration and not of limitation and in addition to any
inherent, implied or statutory powers, granted to executors or trustees, my Executor
and Trustee are specifically authorized and empowered with respect to any property,
real or personal, at any time held under any provision of this my Will; to allot,
allocate between principal and income, assign, borrow, buy, care for, collect,
compromise claims, contract with respect to, continue any business of mine, convey,
LAW OFFICES
DUNN AND DUNN
3230 COUNTRY CLUE ROAD
DRAWER 1389
NEW BERN, NORTH CAROLINA 28560
TELEPHONE: [phone]
PAGE 6
convert, deal with, dispose of, enter into, exchange, hold, improve, incorporate any
business of mine, invest, lease, manage, mortgage, grant and exercise options with
respect to, take possession of, pledge, receive, release, repair, sell, sue for, to
make distributions or divisions in cash or in kind or partly in each without regard
i
to the income tax basis of such asset and in general, to exercise all of the powers
in the management of my Estate or the Trust Estate which any individual could
exercise in the management of similar property owned in its own right, upon such
terms and conditions as to my Executor and Trustee may seem best, and to execute and
deliver any and all instruments and to do all acts which my Executor and Trustee may
deem proper or necessary to carry out the purposes of this my Will, without being
limited in any way by the specific grants of power made, and without the necessity of
a court order.
ARTICLE XI
DEFINITION OF EXECUTOR. Whenever the word "Executor" or any modifying
or substituted pronoun therefor is used in this my Will, such words and respective
pronouns shall be held and taken to include both the singular and the plural, the
masculine, feminine and neuter gender thereof, and shall apply equally to the
Executor named herein and to any successor or substitute Executor acting hereunder,
and such successor or substitute Executor shall possess all the rights, powers and
duties, authority and responsibility conferred upon the Executor originally named
herein.
ARTICLE XII
DEFINITION OF CHILDREN. For the purposes of this my Will, "children"
means the lawful blood descendants in the first degree of the parent designated;
LAW OFFICES
DUNN AND DUNN
3230 COUNTRY CLUB ROAD
DRAWER 1389
NEW BERN, NORTH CAROLINA 28560
TELEPHONE: [phone]
PAGE 7
and "issuer" and "descendants" mean the lawful blood descendants in any degree of the
ancestor designated; provided, however, that if a person has been adopted, that
person shall be considered a child of such adopting parent and such adopted child and
his issue shall be considered as issue of the adopting parent or parents arid of
anyone who is by blood or adoption an ancestor of the adopting parent or either of
the adopting parents. The terms "child," "children," "issue," "descendant" and
"descendants" or those terms preceded by the terms "living" or "then living" shall
include the lawful blood descendant in the first degree of the parent designated even
though such descendant is born after the death of such parent.
ARTICLE XIII
HEADINGS. The paragraph headings are for convenience of reference only
and shall not be considered terms of this Will.
IN TESTIMONY WHEREOF I, Lina Tetterton Canady, the testatrix, sign my name
to this instrument this the 18th day of September , 1987, and being first duly
sworn, do hereby declare to the undersigned authority that I sign and execute this
instrument as my last Will, and that I sign it willingly, (or willingly direct
another to sign for me), that I execute it as my free and voluntary act for the
purposes therein expressed, and that I am eighteen (18) years of age or older, of
sound mind, and under no constraint or undue influence.
"LINA TETTERTON CANADY",,The Testatrix
LAW OFFICES
DUNN AND DUNN
3230 COUNTRY CLUB ROAD
DRAWER 7369
NEW BERN, NORTH CAROLINA 28560
TELEPHONE: [phone]
PAGE 8
We, Raymond E. Dunn, Jr. and Mary Ellen Ditzler , the
witnesses, sign our names to this instrument, being first duly sworn, and do hereby
declare to the undersigned authority that the testatrix signs and executes this
instrument as her Last Will, and that she signs it willingly (or willingly directs
another to sign for her), and that each of us, in the presence and hearing of the
testatrix, hereby signs this Will as witness to the testatrix's signing, and to the
best of our knowledge, the testatrix is eighteen (18) years of age or older, of sound
mind, and under no constraint or undue influence. j
Witness
NORTH CAROLINA
CRAVEN COUNTY
Witness
Subscribed, sworn to and acknowledged before me by Lina Tetterton Canady,
the testatrix, and subscribed and sworn to before me by Raymond E. Dunn, Jr. and
Mary Ellen Ditzler , the witnesses, this the 18th day of
September , 1987.

My Commission Expires:_ Sept. 25, 1988
Notary public
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LAW OFFICES
DUNN AND DUNN
3230 COUNTRY CLUB ROAD
DRAWER 1389
NEW BERN, NORTH CAROLINA 26560
TELEPHONE: [phone]
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EXHIBIT A
Nr_
E.co.system
PROGRAM
January 26, 2010
Hix Robinson Browne
2060 Canady Landing Road
Aurora, NC 27806
Expiration of Acceptance: October 26, 2010
Project: Browne Garage
County: Beaufort
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept
payment for impacts associated with the above referenced project. Please note that this decision does not assure that the payment will
be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the applicant to contact these
agencies to determine if payment to the NCEEP will be approved. You must also comply with all other state federal or local
government permits regulations or authorizations associated with the proposed activity including SL 2009-337: An Act to Promote
Compensatory Mitigation by Private Mitigation Banks _
This acceptance is valid for nine months from the date of this letter and is not transferable. If we have not received a copy of the
issued 404 Permit/401 Certification/CAMA permit within this time frame, this acceptance will expire. It is the applicant's
responsibility to send copies of the permits to NCEEP. Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the In
Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www,nceep.net.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the following
table.
River CU Stream (feet) Wetlands (acres) Buffer I Buffer 11
Basin Location (Sq. Ft.} (Sq. Ft.}
Cold Cool Warm Riparian Non-Riparian Coastal Marsh
Impact Tar-Pamlico 03020104 0 0 0 0 0 0 0 335
Credits Tar-Pamlico 03020103, 0 0 0 0 0 0 0 503
03020104,
or
03020105
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. If the regulatory agencies require
mitigation credits greater than indicated above, and the applicant wants NCEEP to be responsible for the additional mitigation, the
applicant will need to submit a mitigation request to NCEEP for approval prior to permit issuance. The mitigation will be performed
in accordance with the Memorandum of Understanding between the N.C. Department of Environment and Natural Resources and the
U.S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
cc: Cyndi Karoly, NCDWQ Wetlands/401 Unit
NCDWQ-Washington
Arthur Cota, agent
File
Sincerely, ? I
s-
more, PE
Wil rr
DirReston ..
. Er iaruiiFt?... Pro" ow State
A'?A
NCDENR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-16521919-715.04761 www.nceep.net
Page 1 of 1
Site: I Li(.9lnc) H
All
V Q1 ? ? gg I ? (2
(1 m06A) 212
00 0) 6
? 77662 X787 M 1 0785 l?? 3
-161 I i O (21
Property Details:
PIN 1 115019484 1 1 GPIN 7508-74-8787
GPINLONG 1 17508-74-8787 NAME? BROWNE HIX ROBINSON
NAME2
- ADDR1 -? 2060 CANADY LANDIND RD
?
1ADDR2 CITY AURORA
ISTATE NC ZIP 27806
PROP ROAD -?
ACCT NBR
. SR 1902 OFF
862719 ACRES
MAP SHEET 1 1.06
1750800
1 NBR BLDG -? 3 DATE 1 16/24/2002
DB PG 7 [03E/86 LAND VAL 50515
BLDG VAL
TOT VAL 1 66692
1117207 DEFR VAL
NBHD_CDE 0
GW
NBHD_DESC GOOD WATER JSUB CDE
SUB DESC STAMPS -1 0
SALE _PRICE 1 10 ZONE
LAND USE DISTRICT 14
PROP DESC
EXMPT_PROP 1 LT (.93AC) H H CANADY
1 MBL
EXMPT AMT 75080075
0
ROAD TYPE T
CENSUS BLK
FP-REVASSESS 110
DISCLAIMER: These maps and information either in digital or hardcopy format are provided solely as a public service and they do not meet surveying accuracy standards. This map
data is prepared from the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other public records and data Users of any maps
generated on this site are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information contained on any maps. The
county of Beaufort assumes no legal responsibility for the information contained on these maps.
http://www2.undersys.comlscripts/testadvlusiwebbpd.dll/usi?fortnis=ptmap&MouseX=31... 1/25/2010
" General" MAJOR VARIANCE
From the Neuse and Tar-Pamlico Riparian Buffer Protection Rules for residential
structures on existing lots within the coastal counties as defined by the Coastal Area
Management Act that meet the conditions stated below.
This "general" major variance from the Riparian Buffer Protection Rules in the Neuse
(15A NCAC 2B .0233) and Tar-Pamlico (15A NCAC 2B .0259) River Basins is hereby issued by
the NC Environmental Management Commission (EMC) for impacts to the protected buffers as
long as the conditions prescribed below are met.
The applicant must submit to Division of Water Quality (DWQ) three copies of the DWQ
"General" Major Variance Application Form that describes how the following conditions of this
variance will be met. If these conditions can not be met, an individual Major or Minor Variance
from the Buffer Rules may be sought from the EMC. This "General" Major Variance shall expire
on April 11, 2006 unless it is renewed before that time by the EMC.
Conditions:
1. The residential lot must be located within one of the coastal counties as defined
by the Coastal Area Management Act (CAMA).
2. Applicants must show that they have met the requirements for a variance as
specified in the buffer rules in "VARIANCES" [15A NCAC 2B .0233(9)(a)(i)-
(iii) and 15A NCAC 2B .0259(9)(a)(i)-(iii)] for the specific river basin where the
impacts will occur.
3. Applicants must show that the residential lot has been platted and recorded prior
to August 1, 2000.
4. Construction is for residential buildings and related structures such as garages,
decks, porches, attached commercial buildings, driveways and sheds.
5. Substantial expenditures and contractual obligations must have occurred in good
faith prior to the August 1, 2000. Substantial expenditures and obligations must
have been made in reasonable reliance upon governmental permits and/or
approvals (such as 401 Water Quality Certifications, CAMA permits, active
connection to an existing sanitary sewer system or local on-site wastewater
system approvals). Supportive written documentation must be submitted to the
DWQ for review.
6. The lot must be buildable, without wetland impacts except for driveways and/or
utility crossings and any impact to the buffer shall be minimized to the maximum
extent practical.
7. Where impacts to the buffer will occur, the impact should be minimized to the
greatest extent practicable as determined by DWQ staff.
8. Any on-site wastewater treatment must not be located within 50 feet of a surface
water as specified in "ZONES OF THE RIPARIAN BUFFER" [15A NCAC 2B
.0233(4) and 15A NCAC 2B .0259(4)] of the buffer rules. The only exceptions
include any pretreatment systems meeting the Treatment Standard 1 as found in
15A NCAC 18A .1969 Innovative System Approval regulated by the NC
Division of Environmental Health, On-site Wastewater Section.
9. On-site stormwater management controls must be shown on the application and
stormwater runoff must be directed away from the adjacent surface water and/or
coast wetland as determined sufficient by DWQ staff; measures such as rain
gardens, bio-retention areas, vegetative filter strips and planting of trees or shrubs
along bulkheads and/or property lines to maximize pollutant removal may be
required as determined by DWQ staff. If the applicant is required to obtain a

Sedimentation and Erosion Control Permit or a CAMA Major Permit, then a
Stormwater Permit may be required from the DWQ.
10. Mitigation will be required at a 1:1 ratio for impacts to Zone 1. This mitigation
can be accomplished by either (1) payment into the Riparian Buffer Restoration
Fund (administered by the DWQ Wetlands Restoration Program), (2) planting or
protection of a riparian area not subject to the buffer rules, or (3) additional
planting of a partially buffered location on-site or in close proximity to the
impacted area. Mitigation plans must be approved in writing by the DWQ prior
to construction.
11. The applicant must receive written approval from the DWQ based on the
submittal of the "General" Major Variance Application Form acknowledging that
these conditions have been met before any impacts occur to the riparian buffer.
12. The applicant must contact the appropriate District office of the N.C. Division of
Coastal Management or Local Permitting Officer for any current requirements
for CAMA Major, Minor or General Permits. In addition, the applicant must file
(if needed) an application with the Local Health Department for an on-site
wastewater system prior to any site construction. The Improvement Permit and
the Construction Authorization is required to be issued prior to any other building
or construction permit [Ref. G.S. 130A-338].
Signed: z9?
Dr. Charles H. Peterson, Chair
Water Quality Committee
NC Environmental Management Commission
Effective Date: 10 h of 001
OFFICE USE ONLY: Date Received ---- _- Request #
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
"General" Major Variance Application Form -
a From the Neuse and Tar-Pamlico Riparian Buffer Protection Rules for residential structures
on existing lots within the coastal counties as defined by the Coastal Area Management Act
(As approved by the Water Quality Committee of the Environmental Management Commission on 5/9/2001)

Please identify which Riparian Area Protection Rule applies. -
? Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC .0233)
1!l Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC.0259)
NOTE:
To constitute a complete application, all of the information requested in this form
must be provided Incomplete applications will be returned to the applicant The
original and two copies of the completed "General" Variance Application Form and
any attachments must be sent to the DWQ 40111Netlands Certification Unit, 1650 Mail
Service Center, Raleigh, NC 27699-1650, 999-733-1786 to constitute a complete
submittal. This form may be photocopied for use as an original.
Part 1: General Information
(Please include attachments if the room provided is insufficient.)
1. Applicant'sname (the corporation, individual, etc. who owns the property):
2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: 1 X . R.*- - RC W
.
Title: - - -- - - - -- -- - -- -- -
Street address: c?
City, State, Zip: fye; W ,?.o. c. \? L
Telephone: ?5C -...'1_a5-=.Vt,.o y ---_ --
Fax:
3. Contact person who can answer questions about the proposed project:
Name:
N-? l x e
Telephone: 1- -.__._...__
Fax: _.._ _.._.._
Email:cA.y..arc, - hk.. ---
'General" Variance Application Form
Version 1: May 2001
4. Project Name (Subdivision, facility, or establishment name -consistent with project name on
plans, specificatipns, lett ts, operation and maintenance agreements, etc.):
5. Project Location:
Street address: n0. (1.?m h-w 0?o --. ----------------------_-_ --
City, State, Zip: RQ R.Q _t N_?, _.a.l _ la ----------------------------------
County:so ti-- _------ --- - _ __ -- ----------- - -- ---- -
Latitude/longitude: ------------ ---?_-__-__________ _-----------------_-
6. Directions to site from nearest major intersection (Also, attach an 8'/z x 11 copy of the portion
of the USGS topographic map indicating the location of the site):
------------ - ------------------------------------------
T. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
Stream classification [as identified within the Schedule of Classifications 15A NCAC 28
.0315 (Neuse) or.0316 (Tar-Pamlico)): .... _..____.____.._.._._
a. 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
- 'o :3 CAMAMinor',?-%,?1 lce,
401 Certification/404 Permit "A SOY
On-site Wastewater Permit
Active Connection to Sanitary Sewer System
_ 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.)
s e_e, e v\c,\oso wker ")
1. 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.:
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:
"General' Variance Application Form, page 2
Version 1: May 2001
PART Proposed Activity
3 Plat map and proposed site plan for house are attached. The plan is based on the
50' buffer requirement but because of the rough magnitude of our measurements,
and the 5' requirement from the septic tank, the house may infringe on the 50'
buffer. The maximum impact would be from 6 to 8'.
2. As you can see from the attached site plan, we have tried to situate the house so
that the 50' buffer is not affected. We are applying for this permit in case the
house is delivered and the house and porch cannot be situated without infringing
on the buffer.
3. We are willing to replant or reseed as recommended.
4. (1) We will not be able to build house as planned. (2) If the manmade gut and
existing marshland were not on either side of the lot, we would not be concerned
with the 50' buffer. (3) We have put earnest money down on the house and have
made construction plans.
Physicians East P.A. - Rheumatology
1850 West Arlinqton Blvd, Greenville, NC, USA 27834
[phone] Fax: [phone]
Name Jerry J Browne
Addr 2060 Canady Landing Rd
City Aurora, NC 27806
e
Date 02/03/2010
DOB 03/28/1938
[phone]
NEEDS ATTATCHED GARAGE DUE TO MUSCLE DISEASE (POLYMYOSITIS) HE
HAS WEAKNESS IN LEGS. POOR BALANCE AND FALLS OFTEN. ATTATCHED
GARAGE WOULD IMPROVE SAFETY & PREVENT INJURY
Disp ***1 *** Refill ***1 ?`**
Product electio rmitted Dispense as Written
Jeffrey Alloway MD
NPI:1104829332 DEA:BA5681526
----------------------------------------------------
ON " `19
pG
7
r
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
October 17, 2003
DWQ Project # 03-1284
Beaufort County
Page 1 of 2
Hix R. Browne
282 Seagate Drive
Newport, NC 28570
Subject Property: Property of H. H. Canady, 0.931 acres, Canady Landing Road, Aurora, NC 27806
Goose Creek [03-03-07, 29-33, SA HOW (High Quality Water) NSW (Nutrient Sensitive)]
APPROVAL for the use of the "General" MAJOR VARIANCE; From the Neuse and Tar-Pamlico Riparian Buffer
Rules for the Construction of Residential Structures on Existing Lots within the Coastal Counties as defined by
the Coastal Area Management Act with ADDITIONAL CONDITIONS
Dear Mr. Browne:
You have our approval, in accordance with the conditions listed below, to impact approximately 320 square feet (ft2) of
Zone2 of the protected riparian buffers for the purpose of constructing a house on the subject property as described
within your application dated October 9, 2003. This letter shall act as your approval for the use of the "General' Major
Variance; From the Neuse and Tar-Pamlico Riparian Buffer Rules for the Construction of Residential Structures on
Existing Lots within the Coastal Counties as defined by the Coastal Area Management Act with ADDITIONAL
CONDITIONS as approved by the Water Quality Committee (WQC) of the Environmental Management Commission
(EMC) on May 10, 2001. In addition, you should get any other required federal, state or local permits before you proceed
with your project including (but not limited to) Sediment and Erosion Control and CAMA permits. This approval shall
expire when the variance expires on April 11, 2006 unless the variance is renewed before that time by the EMC.
This approval is only valid for the purpose and design that you described in your variance request. If you change your
project, you must notify us and you may be required to send us a new request for approval. If the property is sold, the
new owner must be given a copy of this approval and is thereby responsible for complying with all conditions. For this
approval to be valid, you must follow the conditions listed below.
Conditions:
1. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return the attached certificate of completion to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
2. Diffuse Flow
All new stormwater drainage shall be directed to vegetated areas as diffuse flow at non-erosive velocities prior to
entering the protected riparian buffers as identified within 15A NCAC 2B .0259(5). No new ditching or piping of
stormwater through the protected buffers is allowed.
If you do not accept any of the conditions of this approval, you may ask for and adj'udicatory hearing. You must act within
60 days of the date that you receive this letter. To ask for a hearing, send a written petition that conforms to Chapter
1506 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.
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), httpJ/h2o.enr.state.nc.us/ncwetlandst
' Mr. Browne,
Page 2 o IV
October 17, 2003
This letter completes the review of the Division of Water Quality under the Tar-Pamlico River Riparian Buffer Protection
Rules (15A NCAC 2B .0259 (9)(b)). Please call Mr. Bob Zarzecki at 919-733-9726 or Tom Steffens at 252-946-6481 if
you have any questions or require copies of our rules or procedural materials.
Sincerely,
r
Alan W. Klimek, P.E.
Director, DWQ
Attachments: Coastal General Variance
Certificate of Completion
cc: Tom Steffens, DWQ Washington Regional Office
DCM Washington District Office
File copy
Central Files
DWQ Project No. 031284
October 17, 2003
bz
Beaufort County
Local Government
LAMA
M]NOR DEVELOPMENT
PERMIT
03-01
Permit Number
AMENDED
as authorized by the State of North Carolina, Department of Environment
and Natural Resources and the Coastal Resources Commission for development
in an area of environmental concern pursuant to Section 1 i 3A-118 of the
General Statutes, "Coastal Area Management."
Issued to 'Ms- Hix R. Browne , authorizing development in Beaufort rn,nty
at Canady Landina on Goose Creed off sg igo
near Aurora as requested in the permittee's application, dated 21 August 2Qt3
This permit, issued on 11 SeAtember 2003. is subject to compliance with the application and site drawing (where consistent
with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject
permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
3. No fill is allowed within 30' of the canal, creek and/or coastal wetlands with the exception of
the previously filled area approximately 47 'by approximately 120 ' that is approximately 15 '
from the manmade canal.
4. Any further development on this site such as the addition of piers, bulkhead or a dwelling will
require notification of this office for permitting..
5. Should any problems arise during the process of construction, you are to cease all work
immediately and contact David Moye, NC Department of Environment and Natural
Resources, 943 Washington Square Mall, Washington, NC, 252-946-6481. .
dwelling +52' from the man made canal off Goose Creek as
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
From the date of an appeal, any work conducted under this per-
mit m.st cease until the appeal is resolved.
This permit must be on the project site and accessible to the
4 permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit requires further written permit approval.
All work must cease when this permit expires on December
31, 2006
In issuing this permit it is agreed that this project is consistent
with the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without
the written approval of the Division of Coastal Management.
W.
L ermit Officer (signature)
I
V David W_ MoyP
name
NC DENR.Division of Coastal Management
943 Washington Square Mali
address
Washington, NC 27889
252-946-6481
Permittee
(signature required if special conditions above appiy to permit)
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