74198_Irma Fay bond- Maybauer_20200116

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CAMA/ DREDGE & FILL CO 50°?� 1 No. 74198
GENE PERMIT Previous permit /A D C D
G p IAA
Modification Complete Reissue Partial Reissue Date previous permit sued Alp
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 07N, i i rC O
_ i7 ❑Rules attached.
Applicant Name II/`1 A f A`/ 8 a Al 0-/41'J ALA h Project Location: County PAM L K O
Address 'ZO(./ N r[AS L Px . Street Address/State Road/Lot#(s) SAME
City Di'rttiT'1�- /1/State LZIP 18c7)
Phone# ( ) d q 2 ( - 1 °11E-Mail Subdivision
Authorized Agent 1U O /6 CI- SG 6/ City ZIP
CW NW X,F1TA OS �PTS Phone# ( ) River Basin NC t1 J'1
Affected -OEA HHF ❑IH ❑UBA ❑WA
AEC(s): Adj.Wtr. Body (n VA 1 (nat /ar kn)
IT PWS:
ORW: yes / ,o ) PNA yes no Closest Maj.Wtr. Body ON I TT
Ala VZ Ck�.I.
Type of Project/Activity 0 -ill Q('i p 9S "
/1j7j,{f. r►) (A IA
(Scale: ('15 0 i )
Pier(dock)length ___
Fixed Platform(s) I - f i - -
Floating Platform(s) _ - - ' 1 1.-0 Yi-rnr _ i
6.
Finger pier(s) — or . lI
G
• i .yr.- K7
Groin length
-- -- i
r
p p '
ulkhead/ pray length / /id , I it/ T ' f1
avg distance offshore I�Aj�' r A ox1 a b I C KC F/
max distance offshore 2 ` ' 0Ift(i/j
Basin,channel - --_ /- 1
cubic yards '� - —_.ow_. ( l
Boat ramp '-. _ax`�"t.«•+ ,NE
j Boathouse/$oadift ' ^N ap f/20 K JI B '
�.
is'
9d - f ,�
Beach Bulldozing - it
1(1 iRpp a
Other ib
— 1 .Fc--
Al
Shoreline Len I
SAV: not sur yes no r
i
Moratorium: n/a yes 4::' _
Photos: no j I
Waiver Attached: Lc;)/ � I -
1 A building permit may be required by: ?AMC /(b COLA ,Jr/ . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) n
Notes/Special Conditions 5/ r 0 7)-) ) )C10. C1'11(11(A I' �, ' w-All)ft)rA R i) p r 1/, A .
ul tON& ulvt AT 4I P (ZrPP Il1t:,,J yARJ,) G/?It$5.
Qtv yo OF Pipit z•-CO /A
�r ;i^ z Fe �o nc� - C�(1 ax e r r bb Al ) 1A 1
Agent or Applicant Printed Ne I Permit ffic ' Printed Name
J p
Signature **Please read compliance statement on back of permit** ignature
41/00 D D -?‘ 16 JAA) G o 2-D 11 NlA l e l e o
Application Fee(s) Check# Issuing Date Expiration Date
i

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules I I Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves: Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan, Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to mz. Fc� �an�- rY1 o..IC n�
(Name of Property Owner)
property located at 1ao 4 Me us e
(Address, Lot, Bloc-ki ,Road, etc.)
on (�..�h; a\ce✓ C(ee,L , in Or�i'e I , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me. as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Slant?tune Sl- /_ ill'P (
le►M a rah �Urk{ - n leK b au.ev- ' vro:er'�'- ti�Lo4NA
Print Type Name Print or Ty e N S
I a 1. N e u44_ U rt t,-e_ a,r
M ding A dre s Mailing ress
( r; N o'Z 85 1 ( e^ ��5
City/State/Zip City/StateiZip

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _J-iina 2tinci- I'll loci 's
7� (Name of Property Owner)
property located at lao(' J�JO-4.5e I3I',
���� (Address, Lot, Block, Road, etc.)
J on Ik ft4ktY C(€€-k , in Qf i , N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
✓ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
J• 41. I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
V v„IA .
S1a11�?t111 P S1tiRatu1
r a Fay !. oc )- 1Y a)(6au e r sa !t y —
Print or Type Name Print or Type Name
_1aok_ IVekse Dr, Lre_ /2�/d u.s,g_ _--
Mailing Address Mailing Address
Or r i enta IUD- a g S7/ ©rl e 1f g5 7/
City/State/Zip City/State/Zip

r-" ,./ tk4..te 3
?IA"4
JUN 1 ':) 2 011 Cie
FOR AGENCY USE ONLY
N.C. DIVISION OF WATER QUALITY ' % • 1,''4 4 ' ' Date Received
SURFACE WATER PROTECTION SECTION Year Month Day
�20 1r � y I Zi/
Certificate of Covers e
STATE STORMWATER NOTICE OF INTENT(NOI) SjWIGIO 1.5,1 b la I'l
Check# Amount
SWG050000- GENERAL PERMIT FOR RESIDENTIAL DEVELOPMENT 3 PermitAssgned o
DISTURBING LESS THAN 1 ACRE S✓�,f.r.
State Stormwater Management Application Notice of Intent for coverage under the General Stormwater
Management Permit for Residential Development Construction.
For the construction, operation and maintenance of impervious areas and BMPs associated with the
construction of residential development located within '/2 mile and draining to Class SA waters, that
does not require a Sediment and Erosion Control Plan (less than 1 acre of disturbance) or a CAMA
Major Permit, and adding more than 10,000 square feet of built upon area, resulting in a built upon area
(BUA) greater than 12%.
(Please print or type)
1. Mailing address of owner/developer: (The address to which all permit correspondence will be mailed.)
—
Owner/Developer Name —4 tM cam fE
. a(14— 64a0c1
r,,cr
Mailing Address I g 06, NCuce. h t tl e
City Ot ie-tics State /V C ZIP Code 028„$-7/
Telephone No. ,-,. 3-- )Z og`/9- /g i Fax ( )
2. Proposed Project Information:
Project Name
Street Address
of the Project /s o y /Luse, 2 /i_
City Dc,'en/a/ State NC__, ZIP Code o2 6''S 7 /
County Pcc„rAJ,'Cc
Contact Person go b r14x bcu,e - Email bc, b✓m a.xbccuet C 51/04. ( , Len/j
Mailing Address 1 0 0 /V e 45 c= D r r'Ve
City 0t Iev1'1-ct1 State NG ZIP Code 28'S7 /
Telephone No. (,2c4 (, 75= 7a 3' Fax ( )
3. Physical Location Information:
Please provide the street address of the project and describe how to get to the project, using street names,
state road numbers, and the distance and direction from the nearest major intersection: I 020 y A/easc- ll, t-C,
u-p04 evtt-e/105 v HePt tGtl `FPom i2ci boro o n W y_s 5 tuv'n /el/ on ,P4_5A,t RocicC and
8 o tt evt , 1 Item lell- o n /I/earse. 1) ,'vim nccee_. Tell s mde. on /t l,T,
4. What is the name of the receiving stream? (,1.J h iif-cJCef c..Cree 02 7/30 53 03 D`1 -ill
`
5. River Basin 1 SJP__— Receiving Stream Classification 'A E SA, ORW
6. This Certificate of Coverage is being submitted as a result of:
ENew or proposed project ❑ Modification to an existing project
Existing COC or Permit Number:
Date project is scheduled to begin construction / be- e/e/rtg,/,ied
SwU-117-103008 Page 1 of 4
11.

7. Are there any wetlands on the site? ❑ YES(must show on the plans) 'NO
Name and affiliation of person making this determination: OCUnef
8. What is the total area of Coastal wetlands above mean high water? /j/,/, f Z
(Coastal wetlands as defined by Division of Coastal Management(DCM))
� z
9. What is the total property area above mean high water? '2 y/dOG ft
10. What is the total amount of built-upon area proposed at this site? 377 ft`
11. What is the percent built-upon area proposed at this site? /90/0
12. Please select which practice(s) is to be used to manage stormwater runoff?
a. ❑ Rain cistern or rain barrels
❑ collects all rooftop runoff from the first 1.5"of rain
❑will reuse the collected rainwater on site
❑ unused collected rainwater that overflows is directed to a vegetated area in a diffuse flow
b. 'Rain gard (bioretention cell)
collects all rooftop runoff from the first 1.5"of rain
c. B Permeable pavement system for all uncovered:driveways, parking areas, walkways, and patios
(Required if a or b selected above)
d. ❑ Other stormwater Best Management Practice: (specify)
❑ controls and treats stormwater runoff from all built upon areas of the site from the first 1.5" rain
❑ meets the requirements of 15A NCAC 02H. 1008
13. Please list all other Best Management Practices(BMPs)employed at this site:
�c1/ fey, once. harlc� c_locti`,n ,,�,'1-Ii yye-lh'c 14r gricand.
,gym eik lasts iLor9751,110 Arid Pura o cl, oec-tee/ 7`77/`c ttn7'1 bc'S.'n 3, Z c.c./A:7/ 7��✓L
/i / e--h eL/01/-a rid /euS c%O ve/'//Uui 5/'«5Sc (/C uAjccee re?.4_, l�e5,4 o��•.^9-7.j-�
rn /q,4 1Ii✓1 e JLJ G{JL( G/� edja. i Grt%l viVA l/iV/JK� 6f/j i 5 Q✓!41 A/9�j oAc'/`1J�-f- L4'S,
,' t:f,1 /i / ff ,
14. Professional Certification of BMP(s)design: (not required if owner is performing own design)
I certify that the BMP(s)designs required in item 13 comply with ALL of the requirements of 15A NCAC 2H
.1008, the current BMP Manual design requirements, and Session Law 2008-211.
Printed name of person signing:
Professional
License:
SEAL
(Signature)
(Date)
SWU-11 7-1 03008 Page 2 of 4

15. Applicant Certification:
North Carolina General Statute 143-215.6E (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application,
record, report, plan,or other document filed or required to be maintained under this Article or a rule
implementing this Article;or who knowingly makes a false statement of a material fact in a rulemaking
proceeding or contested case under this Article; or who falsifies,tampers with, or knowingly renders inaccurate
any recording or monitoring device or method required to be operated or maintained under this Article or rules
of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed$10,000. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or
imprisonment of not more than 5 years, or both, for a similar offense.)
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirement for the project and is enforceable in the same manner as an individual
permit.
I certify that I am familiar with the information contained in the application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed name of person signing: y Y‘ Ma_ j--, �a h,a0 yj4 /ba ue�
Title: OW y e,r
(Signature of Applicant) (Date signed)
A check or money order must accompany this Notice of Intent for$505.00, made payable to:NCDENR.
Your application will be returned unprocessed unless all of the following items are submitted:
[This completed form with original signature
la Two sets of site and grading plans
[]"-A check for$505.00
A USGS map with the project clearly located on it.
El—Property restrictions or protective covenants.
RPlans, details and calculations for cisterns', rain barrels, permeable pavement, rain garden, or other BMP
used, including a drainage area map if multiple BM Ps are used.
Er5upplement Form(s)for BMP(s) used
Operation & Maintenance Agreements(s)for BMP(s) used
Mail the entire package to: NCDENR Division of Water Quality
Surface Water Protection Section—Stormwater
at the Appropriate Regional Contact Address (see the following page)
Note:
The submission of this document does not guarantee the issuance of a Certificate of Coverage under the
General Permit
All forms and documents may be downloaded online at:
http://h2o.enr.state.nc.us/su/Forms_Documents.htm#sswmp
SWU-117-103008 Page 3 of 4

C2010 Noun Cuacas '400'224.7521 arwv INif)aMcss.sam
IRMA BOND-MAXBAUER
PH.[phone] 66.7704/2531 3577
7206 NEUSE DR.
ORIENTAL,NC 28571
Date 0 /
Pay to the nc...b /J/j�
order of , V/ $ 5i9 r
Dollars 8 EE
ST TE EMPLOYS'CREDIT UNI N
AHOSKIE•NC 27910 - r�= a
For N51/1l& 09 VcO 6-eel eiaj 1G'fM1i�
I: 2 5 3 0 70494;086 276 /64 70u•
3577

WINSTON-SALEM RALEIGH WASHINGTON
�K►' F1 �z '' qy ' 1,- i
rganw, I Q�
, , �� tom. -f (w ":� ( $
40\ p� 1 �p ➢. IIAI iA% � .. i
T tf,o-it'
,}} r
�}YztrY� .a:r• 1 : F. > r Y }, _ " r'F _ � '.
ASHEVILLE ,ff �- ; br7 .4.
OPP'SON p `F�! 1 } 1' ,� ( t� i3 oro
Y
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vveu- ' '. st• • (HATHAMsn� •� vim �H.' iG • �� • �, •,ter 2 f' t.
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MOORESVILLE ` � ?"' a:, n!)
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FAYETTEVILLE a. t .f
NORTH CAROLINA DIVISION OF WATER QUALITY
.. ` ... . WILMINGTON
SURFACE WATER PROTECTION SECTION
Central and Regional Office Contact Information
For State Stormwater Permits
i ` t.'E ICaatie. . ' U , ,Y,t tEVlt LI H_ Q A °*REP= 7., 0 ,. ` k. . 6
2090 US Highway 70 i 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115
[phone] Fayetteville, NC 28301-5043 [phone]
HOW&ORW Projects in Counties Above [phone] HOW&ORW Projects in Counties Above
i IOW&ORW Projects in Counties Above
--
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845
[phone] [phone] [phone]
_I IOW&00W Projects in Counties Above Coastal Stormwater,HOW&013W Projects in Counties Above Coastal Stormwater,HOW&ORW Projects in Counties Above .
585 Waughtown Street 1617 Mail Service Center
Winston-Salem, NC 27107 Raleigh,NC 27699-1617 '7b preserve~protect`
[phone] [phone] � ` : en[I st .,
""' � w`Norih Carolina's water.._'
HOW&ORW Projects in Counties Above Phase 2 Post-Construction Projects not covered by local
•ovemment
SWU-117-1 03008 Page 4 of 4

1
Permit No.
• (to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin? ac-in
Length of vegetative filter for overflow ft
Distance to structure ft
Distance from surface waters So ft
Distance from water supply well(s) A/J/) ft
Separation from impervious soil layer ft
Naturally occuring soil above shwt ft
Bottom covered with 4-in of clean sand? (Y or N)
Proposed drainage easement provided? +( (Y or N)
Capures all runoff at ultimate build-out? Y (Y or N)
Bypass provided for larger storms? Y (Y or N)
Pretreatment device provided
Form SW401-Infiltration Basin-Rev.5 11Ap2011 Parts I.8 II.Design Summary,Page 2 of 2

Permit No. 2 ✓ ' (,
(to be provided by DWQ)
�f^_^ o`'�� A TEq�c
� STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be filled out,printed and submitted.
The Required Items Checklist(Part III)must be printed, filled out and submitted along with all of the required information,
I. PROJECT INFORMATION
Project Name l a D A! NeAxsa ve— -Uf ic.tfc`,NC- Mw( i-f ntr ZS ideo
Contact Person _Tema_ 3o nd-M&xbaU.e r / Ro6c.rt M4x.Vauer
Phone Number asa /007 ,25.2 4 -7a3g
Date
Drainage Area Number
•
II. DESIGN INFORMATION • -
Site Characteristics
Drainage area o2 g) DOO ft2
Impervious area I I) $$(p ft2
Percent impervious I %
Design rainfall depth /,S in
Peak Flow Calculations
1-yr,24-hr rainfall depth in
1-yr,24-hr intensity in/hr
Pre-development 1-yr,24-hr discharge ft3/sec
Post-development 1-yr,24-hr discharge ft3/sec
Pre/Post 1-yr,24-hr peak flow control ft3/sec
Storage Volume:Non-SA Waters
Minimum design volume required /, irig6 ft3
Design volume provided /,S3`1 ft3
Storage Volume: SA Waters
1.5"runoff volume /, Hilo ft3 RECEIVED
Pre-development 1-yr,24-hr runoff volume ft3
Post-development 1-yr,24-hr runoff volume ft3
Minimum required volume /,Li 86 ft3 SEP 2 8 2011
Volume provided /j 5 3 LI ft3
Soils Report Summary
Soil type DWQ_, ARO
Infiltration rate in/hr {.� �/ �► V Y
SHWT elevation fmsl
Basin Design Parameters
Drawdown time days
Basin side slopes 3 :1
Basin bottom elevation 3, 0 fmsl
Storage elevation 3, 6 fmsl
Storage Surface Area 9 Q ft2
Top elevation ,5, fmsl
Basin Bottom Dimensions
Basin length s2.5 ft
Basin width C1,j ft
Bottom Surface Area oZ 3 77 S ft2
Form SW401-Infiltration Basin-Rev.5 11Apr2011 Parts I.&II.Design Summary,Page 1 of 2
4

• Permit Number: S LA f(-� c%S U 0J j
(to be provided by DWQ)
Drainage Area Number:
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected,repaired or replaced immediately. These deficiencies can affect the integrity
of structures,safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
- The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
- Immediately after the infiltration basin is established,the vegetation will be
watered twice weekly if needed until the plants become established(commonly
six weeks).
- No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation
- The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established,it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches(or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element: Potential problem: How I will remediate the problem:
The entire BMP Trash/debris is present. Remove the trash/debris.
The perimeter of the Areas of bare soil and/or Regrade the soil if necessary to
infiltration basin erosive gullies have formed. remove the gully,and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or The pipe is clogged(if Unclog the pipe. Dispose of the
swale applicable). sediment off-site.
The pipe is cracked or Replace the pipe.
otherwise damaged(if
applicable).
Erosion is occurring in the Regrade the swale if necessary to
swale(if applicable). smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3 Page 1 of 3

BMP element: Potential problem: How I will remediate the problem:
The forebay Sediment has accumulated Search for the source of the
and reduced the depth to 75% sediment and remedy the problem if
of the original design depth. possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or Provide additional erosion
riprap is displaced. protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present. Remove the weeds,preferably by
hand. If pesticides are used,wipe
them on the plants rather than
spraying.
The main treatment area A visible layer of sediment Search for the source of the
has accumulated. sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than Replace the top few inches of filter
5 days after a storm event media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are Remove the plants by hand or by
growing in the main wiping them with pesticide(do not
treatment area. spray).
The embankment Shrubs or trees have started Remove shrubs or trees
to grow on the embankment. immediately.
An annual inspection by an Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device Clogging has occurred. Clean out the outlet device. Dispose
of the sediment off-site.
The outlet device is damaged Repair or replace the outlet device.
The receiving water Erosion or other signs of Contact the NC Division of Water
damage have occurred at the Quality 401 Oversight Unit at 919-
outlet. 733-1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: ! a_0'-1- 1V c? -Se_ i i ve - of\i etn` ai ))G ��L ��-T�►�1� ly S�'c�rk�
BMP drainage area number:
Print name: r Ma. 1e a.& —M&X6at.(Er"
Title: C` Uu ✓t e_►^
Address: f 2 E' (c, 1\1 eLtse_., riu e
Phone: 52- -0'-1�i -g007 502 -o?729 -g0Z7 c JI
Signature: ma-4 ba.c.e '--
Date: g � (cr Zv •
1 /
Note: The legally responsible party should not be a homeowners association unless more than 50%of
the lots have been sold and a resident of the subdivision has been named the president.
-0i eve_ ARC Le, , a Notary Public for the State of
otV C , County of i1,24v-Vv sue- , do hereby certify that
T-+P f� A_ e-r personally appeared before me this 26'
day of S el:yT ,Z of( , and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
`a\u\lnuuIIw Pilk
• pTA� ,� RECEIVED
•q UB SEP 2 8 2011
4jRT COU` a
/ll�i g r g r n I OIM1111\\
DWQ-WARD
SEAL
My commission expires Q / 07 13
yd.„Li
Form SW401-Infiltration Basin O&M-Rev.3 Page 3 of 3

.ps7 . ..
RECEIVED0 , uRIV1 VVAT1R — ',
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APPROVEDlip:l 1 NORTH CAROUNA ENVIRENTAL '�
n�-a! La t 4,1 se : M LL Z SEP 2 8 2011 MANAGEMENT COMMISSION -: r'
y DIVISION OF WATER QIJAUTY
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Date 4�jt�r- AS yp�
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�_ _ _ •---__S: r;v.a:er Permit No Stj4 QS,L�O°I
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- 1gnt�ngs 330 a,si
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153' > ( r ` CAP IA : I Mar►cer
3o 4 3o I JI I 73 I (305') .
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1 antti►ew-5 4Jc- 10 es`"--To 4-1Ylc ccste�
RECEIVED P NI _ _ __ - - - -
SEP 2 8 2011
r%iAre1 tA1nn,E1

1/7/2020 Gmail-Addendum to:Bond-Maxbauer-1206 Neuse Dr.Oriental-General Variance Documents
MGmail Bob Maxbauer<[e-mail]>
Addendum to : Bond-Maxbauer - 1206 Neuse Dr. Oriental - General Variance
Documents
2 messages
Bob Maxbauer<[e-mail]> Fri, May 24, 2019 at 1:42 PM
To: Brad Connell<[e-mail]>
Brad,
Additional doc to that General Variance.
.,l Bond-Maxbauer 1206 Neuse Dr_General Variance_0005.pdf
316K
Connell, Brad<[e-mail]> Mon, Jun 17,2019 at 9:43 AM
To: "[e-mail]" <[e-mail]>, Bob Maxbauer<[e-mail]>
Cc: "[e-mail]"<[e-mail]>
Mrs. Miller and Mr. Maxbauer,
Please see the correspondence below. The DWR has verified that this authorization is still valid. In order for Mr.
Maxbauer to proceed, he will simply need to apply for a CAMA Minor Permit with the Pamlico County Planning and
Inspections Department. Mr. Maxbauer please submit copies of this DWR documentation when applying and note
that any alteration of the proposal may trigger another state authorization prior to proceeding. If either of you have
any questions in the interim, please do not hesitate to contact me.
Brad Connell
Environmental Specialist II
NC Division of Coastal Management
httpliportal.ncdenr.org/web/cnn/dcm-horne
[phone] ext.214
[e-mail]
IhriZ !`/'Nothing Compares_- .
httpsJ/mail.google.com/mail/u/0?ik=23b27 ae6ab&view=pt&search=a II&permthid=thread-a%3Ar7513044558562011990&simpl=msg-a963Ar21908... 1/3

1/7/2020 Gmail-Addendum to: Bond-Maxbauer-1206 Neuse Dr.Oriental-General Variance Documents
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed
to third parties.
From: Scarbraugh,Anthony
Sent: Wednesday, June 12, 2019 4:23 PM
To: Connell, Brad <[e-mail]>; Pullinger, Robert C <[e-mail]>
Cc: Dunn, Carl <[e-mail]>; Dumpor, Samir<[e-mail]>;Wojoski, Paul A
<[e-mail]>
Subject: RE: [External]Addendum to : Bond-Maxbauer- 1206 Neuse Dr.Oriental -General Variance Documents
Brad,
The "General" Major Variance with additional conditions issued on July 18, 2011 under DWR Project# 11-0284 is
valid per guidance from DWR Central office. If you have any further questions, please feel free to contact me.
Regards,
Anthony Scarbraugh
Environmental Specialist II
Division of Water Resources—Water Quality Regional Operations
Department of Environmental Quality
252 948 3924 office
[e-mail]
943 Washington Square Mall
Washington, NC 27889
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Connell, Brad
Sent: Friday, May 31, 2019 10:45 AM
To: Scarbraugh, Anthony<[e-mail]>; Pullinger, Robert C <[e-mail]>
Subject: FW: [External]Addendum to : Bond-Maxbauer- 1206 Neuse Dr.Oriental -General Variance Documents
https://mail.google.com/mail/u/0?ik=23b27ae6ab&view=pt&search=all&permthid—threader%3Ar7513044558562011990&simpl—msg-a%3Ar21908... 2/3

1/7/2020 Gmail-Addendum to: Bond-Maxbauer-1206 Neuse Dr.Oriental-General Variance Documents
See attached
Brad Connell
Environmental Specialist II
NC Division of Coastal Management
httpi/portal.ncdenrgoog/web/cm/dcm-home
[phone] ext.214
[e-mail]
—"Nothing Compares-....
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed
to third parties.
From: Bob Maxbauer<[e-mail]>
Sent: Friday, May 24,2019 1:42 PM
To: Connell, Brad <[e-mail]>
Subject: [External]Addendum to: Bond-Maxbauer- 1206 Neuse Dr.Oriental -General Variance Documents
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to [e-mail]
[Quoted text hidden]
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Applicant K f"A 1='y �od I t/�x/�f�G�t t2
Date: /( J A Al 2 0 Z
General Permit#: Ll/9 F->'3
Describe below the HABITAT disturbances for the application. All values should snatch the name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq.Ft TOTAL Feet FINAL Feet
(Applied for_ (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
Yogi L I�r Dredge 0 Fill❑ Both ❑ Other ❑ r 6+ - r/ 15
1'I fly try G Rouw1 Dredge 0 Fill❑ Both 0 Other 01: 95(9! I
5'mu,v Bono Dredge❑ Fi1�Both ❑ Other ❑ I 0 11 j 2
I
Dredge❑ FiN❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ FIN❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ AN❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ FIN❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge 0 FiN❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑