20090856 Ver 2_Minor Variance_20120329

Beverly Eaves Perdue
Governor
Piwi
icirA
HCDEHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H Sullins
Director
Variance Request Form
(For Minor and Major Variances)
Protection and Maintenance of Riparian Areas Rules
VOTE This foray may be photocopied far use as an anginal
Check the appropriate box below
El Major Vanance
VMinor Variance
©� @�aW=
MAR 2 9 2012
a
Please identify which Riparian Area Protection Rule applies (Note -this must be one of
North Carohna s four buffered river basins The River Bain map is available at
h_ptt AM etir state nc us/adnInVpiays/)
/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 02B 0259)
Part 1 General Information
(Please include attachments if the room provided is insufficient)
1 Applicant s name the corporation i dig idual etc ho owns the property)
lam I- name
MAN
2 Print owner /Signmg offic erson legal1v
Name I p
Tide
Street address
City State Zip
Telephone Al 9) 'fit O - [1-34
Pax
for the property jind its compliance)
3 Contact person who can answer questions about the proposed project
Version 6 July 2009
Dee Freeman
Secretary

Name
YifiV4-r_ UV� L -N�iL
Telephone
91 2-'Fl— /19-7
kax
Email
j?� �i��5'�i2 ✓�L� G
4 Project name (Subdivision, facility or establishment name consistent with project name on
plans specific onn,� letters Lion and mamtenan agr ements etc )
5 Project location
Street address
AAA
Cit) State zip
L L —
County
Latitude/longitude
, 7 _ --7 .7.7 -t37F
6 Date property was purchased
7 Directions to site from nearest mayor intersection (Attach an 8 Ys x 11 cope of the USGS
top ,Zraph c map indicating the location of the site) , , I If
8 Stream to be impacted b) the proposed activity
Streampame (for unnamed streams label as UT to the nearest named stream)
9 Which of the following permits/approv als will be required or have been receiti ed already for this
project
Required Received Date received
Permit Type
CAMA Mayor
CAMA Minor
401 Certification/404 Permit
On site Wastewater Permit
NPDES Permit (including stormwater)
Non - discharge Permit
Water Supply Watershed Variance
Erosion/Sedtmentatton Control
Others (specify)
Part 2 Proposed Activity
(Please include attachments if the room provided is insufficient)
1 Description of proposed activity [Also please attach a map of sufficient detail (such as a plat map
or site plan in Adobe (pdf) format) to accurately delineate the boundaries of the land to be utilized
in carry mg out the activity the location and dimension of anv disturbance in the riparian buffers
associated with the activity and the extent of riparian buffers on the land Include the area of
buffer impact ui ft'
4 T AF_� ME �-D AZbA L X'A tul, � AW. i o/✓
Variance Request Form, page 2 tIA0 AA r 6!-PL%J �b 69-
Version July 2009 C.A -9/'r/,2�)3 AA�b Frcd1ZDG6 tAK C®
RAW OI538
A sya

2 Fill in the table below to ident&v the square footage of impact to Zones I & 2 in the protected
riparian buffers and the required miugauon (Fill in the impacts portion of the table, even if
mitigation is not required)
*Zone 1 extends out 30 feet perpendicular from the most landward limit of the top of bank or the rooted herbaceous
vegetation Zone 2 e -dends an additional 20 feet from the edge of Zone 1
3 State reasons why this plan for the proposed activity cannot be pracucally accomplished reduced
or reconfigured to better nu umize or eliminate disturbance to the riparian buffers
4 Description of any best management practices to be used to control impacts associated with the
proposed activity (f a control of runoff from impervious surfaces to provide diffuse flow re
plantmg xegetation or enhancement of existmg vegetation etc)
5 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 proper[}
involved
Variance Request Form page 3
Version 6 Juh 2009
Buffer Impact
Zone of
Impact in
Number
Purpose for
Multiplier
Required
Impact
Square Feet
(Indicate on
the Impact
Mitigation
Plan Sheet
Zone 1
4
3
15
Zone 2
Total
*Zone 1 extends out 30 feet perpendicular from the most landward limit of the top of bank or the rooted herbaceous
vegetation Zone 2 e -dends an additional 20 feet from the edge of Zone 1
3 State reasons why this plan for the proposed activity cannot be pracucally accomplished reduced
or reconfigured to better nu umize or eliminate disturbance to the riparian buffers
4 Description of any best management practices to be used to control impacts associated with the
proposed activity (f a control of runoff from impervious surfaces to provide diffuse flow re
plantmg xegetation or enhancement of existmg vegetation etc)
5 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 proper[}
involved
Variance Request Form page 3
Version 6 Juh 2009

(3) If economic hardship is the major consideration, then include a speck cXplanation of the
economic hardships and the proportion of the hardship to the enure value of the project
Part 3 Stormwater
1 Provide a description of all best management practices (BMPs) that will be used to control
nutrients and sedimentation impacts associated with the proposed activity Please ensure to
include all applicable operation & maintenance agreements and worksheets for the proposed
BMPs Also include the BMPs on your plan sheets
2 Attach a description of how diffuse flow will be maintained through the protected riparian
buffers Please ensure to include all applicable operation & maintenance agreements and
worksheets for the proposed diffuse flow measure(s) Also include the diffuse flow measure(s)
on 3 our plan sheets
3 What will be the annual nitrogen load contributed b3 tins site after development in pounds per
acre per year without structural BMPs (stormwater pond, wetland, infiltration basin, etc)? Attach
a detailed plan for all proposed structural stormwater BMPs
Drainage
Size of
Post - development
BMP nrtrogen6
Final
Final
basin
drainage
nrtrogen6loading
removal
nitrogen
nrtrogen6
basin
rate without BMW
effictencys
loading rate
loading
(ac)
(lbs/ac/yr)
('OA)
(1bslaclyr)
from
drainage
basin bs
1
2
3
4
S
Totals
s
Attach calculations and references
Attach calculations and references
61nclude Phosphorus in the Tar Pamhco Basm
4 Attach all applicable supplement form(s) and Inspection and Maintenance (I&M) Form(s) to this
completed application The applicable supplemental form(s) and I &M form(s) for the proposed
BMPs noted in Hour application can be downloaded from the following websrte
http //h2o r-nr ,tats, n, w /,u/bmp lomi, htm
Variance Request Form, page d
Vernon 6 Jul-, 2009

Part 4, Proposed Impacts and Mitigation O ��� �3� 1� LX /•
� �
Provide a description of how mitigation will be achieved at your site pursuant to 15A NCAC 2B 0242
for tits Meuse Basin and 15A NCAC 2B 060 for the Tar Pamlico Basin
If buffer restoration is the method 3 ou are requesting be sure to include a detailed plantmg plan to
include plant type date of plantings the date of the one time fertilization in the protected riparian
buffers and a plan sheet showing the proposed location of the plantings A guide to buffer restoration
tan be downloaded at the following website http /Nit ii nceel) stet /ne," s /reports /buflei ` trill'
If payment into a buffer restoration fund is how 3 ou plan to achieve your mitigation requirement then
include an acceptance letter from the mitigation bank -, on propose to use stating they have the
mitigation credits ax ailable for the mitigation requested
Part 5 Deed Restrictions
Bi your signature in Part 6 of this application 3 on certifN that all structural stormwater BMPs
required by this variance shall be located in recorded stormwater easements that the easements will
run ,% A the land that the easements cannot be changed or deleted without concurrence from the
State and that the easements w ill be recorded prior to the sale of any lot
Part 6 Applicant's Certification
I � `� t/ 14.0A (print or ripe name of person listed m
Part I Item ) certif3 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 9f-this form will be recorded,with all required pennit conditions
Signature
Date a2
Title
Part 7 Plan Sheets
Be sure to include a copy of all of 3 our completed application form plan sheets and maps in Adobe
(pdf) format on a CD or floppv disk
Vanance Request Form page 5
Version 6 Jul% 2009

Part 8 Checklist
A complete application submittal consists of the following components Incomplete submittals will
be returned to the applicant The complete variance request submittal must be received 90 days prior
to the EMC meeting at which you vi ish the request to be heard Initial Belo% to indicate that the
necessary information has been provided
�i
Item
• Original and two copies of the Variance Request Form and the attachments
listed below
• A vicinity map of the project (see Part 1 Item 5)
• Narrative demonstration of the need for a variance (see Part 2)
• A detailed narrate a description of stormwater treatment /management (see Part
4)
• Calculations supporting nitrogen (phosphorus in the Tar Pamlico Basin)
loading estimates (see Part 4)
• Calculations and references supporting nitrogen (phosphorus in the Tar
Pamlico Basin) remo-% al from proposed BMPs (see Part 4)
• Location and details for all proposed structural stormwater BMPs (see Part 4)
• Three copies of the applicable Supplement Form(s) and I &M Form(s) for each
BMP and/or narrative for each innovative BMP (see Part 4)
• Three copies of plans and specifications including
0 Development/Project name
0 Engineer and firm__ ---
0 Legend and north arron
0 Scale (1 = 50 is preferred)
0 Revision number & date
0 Mean high water line (if applicable)
0 Dimensioned propert3 /project boundary
0 Location map with named streets or NC State Road number
0 Original contours proposed contours spot elevations finished floor
elevations
0 Details of roads parking cul-de -sacs sideu alks and curb and gutter
0 Footprint of an3 proposed buildings or other structures
0 Wetlands delineated, or a note on plans that none exist
0 Existing drainage (including off -site) drainage easements pipe sizes
runoff calculations
0 Drainage basins delineated
0 Perennial and mterinittent streams ponds lakes rivers and estuaries
0 Location of forest � egetation along the streams ponds lakes rivers and
estuaries
Vanance Request Forth, page 6
Vernon 6 Juh 2009

406 Melanie Dr.
0 100 200 400 Feet
Field
Value
PIN
0764609401
Real Estate ID
0214042
Map Name
076419
Owner
LEHMAN, THOMAS E & SHERRY S
Mailing Address 1
406 MELANIE LN
Mailing Address 2
CARY NC 27511-3570
Mailing Address 3
Deed Book
07115
Deed Page
0523
Deed Date
8/16/1996
Deeded Acreage
0.51
Assessed Building
Value
$131.509.00
Assessed Land Value
$64,000.00
Total Assessed Value
$195,509.00
Billing Class
INDIVIDUAL
Property Description
LT668 PROP MARVIN ROBERT MILLER
95-411
Heated Area
1864
Site Address
406 MELANIE LN
City
Cary
Township
CARY
Year Built
1996
Total Sale Price
$147,500.00
Sale Date
8/16/1996
Type and Use
Single Family
Design Style
Conventional
Land Class
RESIDENCE- 10 ACRES -HOME SITE
Old Parcel Number
028-00000-0000
WAKE
COUNTY

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