20020780 Ver 1_Complete File_20130718

Pat McCrory
Governor
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Thomas A. Reeder
Acting Director
Compliance Assistance /Site Visit Request Form
John E. Skvarla, III
Secretary
Applicant/Owner's Name (corporation/individual who is legally responsible for the property and its compliance:
Btt c) -/ �, atto, v i
Applicant/Owner Address: 1 S-0, ( E A ciLmD wt'', i . 6 2c.% 1&4- '-?yo3
Applicant's phone number: (330 Fax number:
Applicant's email address:
Consultant/Contact person Name (if applicable):
Consultant address (if applicable):
Consultant's phone number:
Consultant's email address:
Fax number:
Name of Project: ii kW (2I_ov / (2q o O trY County: M" 1_c-C6
Nearest Named stream + River Basin (from USGS topographic map):
132o!140 C2y6-tC_ t t'l &OT & Al i
Please provide a brief description of this project (attach site plan if available)-
C & c- i6'&.fs- r.� a LV nq >W i'3 Lt*'6_A - A G MM oc = -4
hill Ifl- %��t't*!i- Mcw`�r. A
Please attach a map of site location indicating project boundaries using USGS 1:24,000 topo map and NRCS county soil survey.
Location of project site - please include reference to the county, nearest named town and highway number:
;&3 5 CtdA✓t- /k-&&) 19. t, M 6 aa,� t7-
Has any DWQ staff visited the site? tiv , if yes, please provide DWQ staff name,
visit:
and date of
This form may be submitted via email ( anthony.scarbraughgncdenr.uov), faxed (252- 946 - 9215), mailed or hand - delivered to:
943 Washington Square Mall, Washington, NC 27889. (Note: Submittals of the review packages on Friday after 12:00 pm will
be stamped as received on the next business day).
Please contact Anthony Scarbraugh at 252- 948 -3924 if you have any questions regarding this form.
North Carolina Division of Water Quality Internet: www.ncwaterquality.ora
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] NorthCarohna
An Equal Opportunity /Affirmative Action Employer- 50% Recycled /10% Post Consumer Paper N atutrallb,

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CERTIFIED MAIL - RETURN RECEIPT REQUESTI
Brian Brown
1501 Fairmont Street
Greensboro, NC 27403
Dear Mr. Brown:
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
May 29, 2002
DWQ # 02 -0780
Pamlico County
On May 13, 2002 the Division of Water Quality (DWQ) was notified by receipt of your
application regarding your plan to fill wetlands for the purpose of constructing a residential dwelling in
Pamlico County. Approval from DWQ is required to disturb these areas. Please provide 7 copies of the
following information and refer to the DWQ # listed above in your reply. In particular as described in
15A NCAC 2B .0502, we will require you to locate all streams and ponds on the property. Please show
these on maps of suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects'
compliance with 15A NCAC 2H.0500.
1. The map scale appears to be off. However, by using the bar scale it appears that the
proposed building foot print is greater than 50 ft from any coastal wetlands or surface
waters. If this is the case, then no variance will be required. If you decide to pursue your
request, then please provide additional information detailing the exact impacts to the
protected riparian buffers.
2. Please fill out Part 1: Section 8 of the PCN application.
Please telephone Bob Zarzecki at 919 - 733 -1786 if you have any questions or would require
copies of our rules or procedural materials. This project will remain on hold as incomplete in accordance
with 15A NCAC 2H .0505(c). The processing time for this application will begin when this information
is received. If we do not hear from you by writing within three (3) weeks we will assume you no longer
want to pursue the. project and will consider it withdrawn.
Si
IterDorney
Quality C�ertifi tion Program
cc: Washington DWQ Regional Office \
Washington Corps of Engineers
Central Files
File Copy
tJ�"DE -R
North Carolina Division of Water Quality, Wetlands /401 Certification Unit
1650 Mail Service Center, Raleigh, NC 27699 -1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604 -2260 (Location)
Ph: (919) 733 -1786, Fax: [phone], http:// h2o.enr.state.nc.us /ncwetiands/

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LIY 0 20P i
General
" Ma'OY Jia ce Application Form' =
From the Neuse and Tar Pamlico Riparian Buffer Protection Rules for residentiats� � T � ITY SOUPOr
on existing lots within the coastal counties as defined by the Coastal Area Managem -~
(As approved by the Water Quality Committee of the EnviroflmenW Management Commission on 5/912001)
Please Identify which Riparian Area Protection Rule applies.
pr' Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC .0233)
o 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 netumed to the applicant. The
original and two copses sent to the DWQ�4011Wetlands Certlticatio U
any attachments must be a nit, 7860 Mail
Service Center, Raleigh, NC 27699.1 650, 91 9-733 -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. Applicants
2. Print owner /Signing
Name: _
Tide:
Street address:
City, State, Zip:
Telephone:
Fax
individual, etc. who owns the property):
for the property and its compliance)
3. Contact person who can answer questions about the proposed project:
Name:
Telephone: ...............
Fax: (.,,,,,..., w )
"Generer Variance Application Form
Version 1: May 2001

tmau:
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Lmt Z t 4 iIuPr AGc'&.5 whm-tomw 6i8 Nom_ PCM1iC
5. Project Location:
Street address:
City, State, Zip:
County.
LatitudeAongitude:
6. Directions to site from nearest major intersection (Also, attach an 8'/ x 11 copy of the portion
7. Stream to be impacted by the proposed activity:
Strearpname (for unnamed streams label as "LM to the nearest named stream):
Stream classification [as identified within the Schedule
(Nauss) or .0316 (Tar - Pamlico)]:
15A NCAC 2B .0315
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
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.)
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 carving
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
Co.
e-
"General" Variance Application Form, page 2

2. State reasons Wny u118 Put' lul ultl NIuPvmu awrlay —161 '%#L "Im ino....wu� •.......••.r......../.,
reduced or reconfigured to better minimjze or eliminate disturban�Ce to the d be en
• Q i►L
of
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„ re 1 ns ma Ca,15 mv) IVU4- rho ki b� ?
mwp2uijc� �M� {;off Gvovle! /�ov�Q�t ?�, cf o� f val�e� of l�� p
s�
don of a best management practices to be used to control impacts associated
3. De p any
the proposed activity (i.e., control of runoff from impervious surfaces to provide diffuse flow,
re- plantfig vegetation or enhancement of existing vegetatio , etc.): of � O er
�.. �. ... `%/ v A �, 'f n i �P _ 77i P D fri O KfI�'1
On en Ike- naivral P- �v +ror�rtie at U14i
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Um
/ '.� l� v. -, .f►ri1�,L =��Si:TIIi:I�: ��� �� ! 1
(2) How these difficultles or hardships result from conditions that are unique to the property
Z
(3) If economic hardship is the major oonsi ei
economic hqrdshlps and the proportion of the
value, 0� A-%%e PrO
Part 3: Deed Restrictions
$r ♦ti �S
` �bnf
✓Q cip�
ion, then include a specific explanation of the
irdship to the entire value of the project.
[.0
�.- q + e F r- s�rctrvn is So IL
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):
Mailing address:
"Genenar Variance Application Form, page 3

CRY, State, Zip:
Telephone:
Fax:
Emall:
Part. 5: Applicant's Certification
i, 8Q l A N i g owty (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:
NO Division of Water Quality (DWQ)
401 Wetlands Certification. Unit
2321 Crabtree Blvd. (LOCATION)
1650 Mail Service Center (MAILING ADDRESS)
Raleigh, NC 27699-1650
(919) 733 -9726 (phone)
httpJ/ h2o.enr.state.nr- u3/ncwetiands/
RALEIGH REGULATORY FIELD OFFICE
Us Army Corps of Engineers
6508 Fails of the Nauss Road, Suite 120
Raleigh, North Carolina 27615
General Number., (919) 876 -8441
http : /twww. saw. usaoe .army.miVwetfands /regtour.htm
,i WASHINGTON REGULATORY FIELD OFFICE
us Amy Caps of Engineers
Post Office Box 1000
Washington, North Carolina 27889 -1000
General Number. (252) 975 -1616
http:ltwww.saw.usaoe.arrny.miVwetlands/regtour.htm
Washington District Office
Division of Coastal Management,
943 Washington Square Mall
Washington, NO 27889
phone: [phone]
Morehead City District Office
Division of Coastal Management
151 -B Highway 24
Morehead City, NC 28557
phone: [phone]
- General Variance Application Form, page 4

Please note that. this draft version contains edits to the version sent
in the May 3rd m ' ' g. The changes are indicated by
and underline.
" General" MAJOR VARIANCE
From the Neuse and Tar Pamlico Riparian Bti ftr 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 No=
(15A NCAC 2B.0233) and Tar - Pamlico (15A NCAC 2B . 0259) River Basins is hmeby 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 descn'bes 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 Buffet 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
deSaed 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(9XaXi)-(iii) and 15A NCAC 2B .0259(9XaXi)- (iii)I for the
specific river basin where the impacts will occur.
3-
Applicants must show that the residential lot has bees platted and
recorded prior to Autust 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 Au" 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 septic 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.
When 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 feat 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 mooting the
Treatment Standard 1 as found in 15A NCAC. I8A .1969 Innovative
System Approval regulated by the NC Division of Environmental Health,
on-site Wastewatm Section.
9. On-site storarwatea 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.
Signed:
Dr. Charles H. Peterson, Chair
water Quality committee
NC Environmental Management Commission
Effective Date:

tile: // /Unlit:
To All:
I have a meeting scheduled with this person to review his property for a Coastal General Variance. It
would be great for either Deborah or Tom from the WaRO to attend and someone from CAMA if possible
(Ted ?). The meeting is scheduled for 1 lam on Friday, July 12th. Let me know if you can make it.
Thanks.
- Bob
of 1 6/12/02 1:59 PI

OFFICE USE ONLY: Date Received
State of North Carolina
Department of Environment and Natural Resources
Di 'sion of Water Quality
cop Y
Request #
V
02 07 x MAY 3
General „ Major Variance Application Fo
From the Neuse and Tar Pamlico Riparian Buffer Protection Rules for resideriti rT Soup ”
on existing lots within the coastal counties as defined by the Coastal Area Management FCT"mA,
(As approved by the Water Quality Committee of the Environmental Management Commission on 5/9/2001)
Please identify which Riparian Area Protection Rule applies.
,ef 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)
............................................. ...............................
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 4011Wetlands Certlt7cation Unit, 1650 Mail
Service Center, Raleigh, NC 27699 -1650, 919 -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's name (the corporation, individual, etc. who owns the property):
(1, P, IAN O�V_nWN --
2. Print Owner /Signing OfficI If person
Name:
Title: n J A J M
Street address:
City, State, Zip: reeA
Telephone: ( Z 2 5
Fax:
responsible for the property and its compliance)
3. Contact person who can answer questions about the proposed project:
Name:
Telephone: ( .................)
Fax: (..._.__......a
"General "Variance Application Form
Version 1: May 2001

t
Email:
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance ag9�reements, etc.): n
Lc* -t 7. 1 e— i Iu(T Ar-'imS f .4 l�nrh7flh�''t(e, A/_C_ Pl,�l%1-1
5. Project Location:
Street address:
City, State, Zip:
County:
Latitude /longitude:
6. Directions to site from nearest major intersection (Also, attach an 8'/ x 11 copy of the portion
of the USGS topographic map indicating the location of the site): ,
S1L (, Er—T- `�
7. Stream to be impacted by the proposed activity:
StreaA'rpael name (for unnamed streams label as "UT" to the nearest named stream): .
L ree k
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B .0315
(Neuse) or .0316 (Tar - Pamlico)):
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
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.)
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 ft.:
Thy_ Pro co lq�rvc4tol) CO - Q fe �clEr�liia dwelbq ConsTi7vrk5
1. _ _ / . I/ - • - - - 7- /� _ . -1 1"r r-.1 l 7r/ - -
"General" Variance Application Form, page 2
Co.
e_

2. State reasons why this plan for the proposed activity cannot be practically accomplished,
0 reduced or reconfigured to better minim Jze or eliminate disturbanc�e to the riparian buffer.
I)A& tnU� shww-nf IMF Z(o 1PS�Ur�ca.Ix,.IF1`n Orrnrf irn_ 4A U& o.,,4Ji,
r + SFfi4 fe Q end '4 of
` Q `r rn I-Ac-
o � o�� rvGv ibIt
5 linn�+a -kol* wovId Attvt—o i cq 41,p_ val „c_ a� 4-(,e pr
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 vegetatio , etc.):
IM r-WOU 5ur -pace5 UJI . �` - a f eofi �,,{►We-
C#116( eAholce;; --J �e natural e-AV ronf1tent wNt 'br-
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
ME 24 I I • 1 r.I ■ , �/ I Y ,
(2) How these difficulties or hardships result from conditions that are unique to the property
7-1 is Lnradei
UMILA urn -
whIck ro,6- ✓o
(3) If economic hardship is the major consi(teratior
economic h dships and the proportion of the hard
i01
(b r .
1 -41rom
it , + f011i
P i� - or1 n�Lerra�f o� �S,
lve. `CIMCe /
i, then include a specific explanation of the
ship to the entire value of the project.
11 1 1 -11 1_ I_ .. _ 1 1 a le., --1
oil
I V: L • i �i» %3i���i� :� 7 1
� Y1-
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):
Mailing address:
"General” Variance Application Form, page 3

City, State, Zip:
Telephone:
Fax:
Email:
Part. 5: Applicant's Certification
I, Ole /AA/ AP-(X hV '(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:
NC Division of Water Quality (DWQ)
401 Wetlands Certification Unit
2321 Crabtree Blvd. (LOCATION)
1650 Mail Service Center (MAILING ADDRESS)
Raleigh, NC 27699 -1650
(919) 733 -9726 (phone)
http:// h2o.enr.state.no,us/ncwetlands/
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6508 Falls of the Neuse Road, Suite 120 .
Raleigh, North Carolina 27615
General Number: (919) 876 =8441
http://www.saw-us6ce.army.mil/wetlands/regtour.htm
,i WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
Post Office Box 1000
Washington, North Carolina 27889 -1000
General Number. (252) 975 -1616
http://www.saw.usace.army.miVwetlands/regtour.htm
Washington District Office
Division of Coastal Management
943 Washington Square Mall
Washington, NC 27889
phone: [phone]
Morehead City District Office
Division of Coastal Management
151 -B Highway 24
Morehead City, NC 28557
phone: [phone]
"General" Variance Application Forth, page 4

May WQC Agenda Item # 2 5 /08 /016te3/01 e4/44
Please note that this draft version contains edits to the version sent
in the May 3rd mailing. The changes are indicated by
sal and underline.
" 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 meta
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.
River Basil]; J* 22, 199:7 T-ff RAVAlif;A River. Basil% januar-Y 1,
and
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 septic 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 minimised
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.

May WQC Agenda Item # 2 siosioimaEei oonmi
9 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 Stornmwater 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.
Signed:
Dr. Charles H. Peterson, Chair
Water Quality Committee
NC Environmental Management Commission
Effective Date:

Jgnorth Caroline of nt and Natural Resou=s ``1!?
of Water c.Zuallty 02.0780 Q v_..
• Application Form
"General" Mayor Variance App
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 Qusiity Committee of the Environmental Management Commission on 5/9/2001)
Please Identify which Riparian Area Protection Rule applies.
,r" Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (1 SA NCAC .0233)
o Tar - Pamlico River Basin: Nutrient Sensitive Waters Management
Stratiegy Protection and Maintenance of Riparian Areas Rule (1 SA
NCAC .0259)
NOTE: a complete To constitute all of the Information requested in this form
must be provided. Incomplete applications will be retuned to the applicant The
originl and two copies of the completed "general" Variance Application Form and
any attachments must be sent to the oWQ 4011Wedands Cordficaftn Unit, 1850 Mall
Selvke
Itta/, form Raleigh, ay be photocopied for use! a complete
subm as an origin
Part 1: General Information
(please include attachments if the room provided is insufficient.)
1. Applicant's
2. print owner /Signing
Name:
Title:
Street address:
City, State, Zip:
Telephone:
Fax.
Individual, etc. who owns the property):
for the property and its compliance)
3. Contact person who can answer questions about the proposed project:
Name:
Telephone: _ ..............)
Fax L.., w.a
wGenemr Variance Application Form
Version 1: May 2001

tmau:
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
lens, specifications, letters, operation and maintenance agreements, etc.): 0
5. Project Location:
Street address:
City, State, Zip:
County:
LaWdellongitude:
6. Directions to site from nearest major intersection (Also, attach an 8 % x 11 copy of the portion
7. Stream to be impacted by the proposed activity:
stream name (for unnamed streams label as "UT' to the nearest named stream):
Stream classification [as identme
(Neuse) or .0316 (Tar - Pamlico)]:
2B .0315
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 Certiflcation/404 Permit
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.)
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 M the riparian buffers
associated with the activity, and the extent of riparian buffers on the land. Include the area
A
e_
"Genemr Variance Application Forth, page 2

2. state reasons wny RU8 p►an WI um r11 uNuaau a%.uvur V.a• n •w, WW r• ava•w.q ....w...p..........,
reduced or reconfigured to better minimrze or.eliminate disturbance to the ripprian buffers
y + _ ^
0101 e,
/ooh
\ Q,,, to ns ma Co.v ;� ttauno� �bo pas ib� ?
J�M� o wcavrel hov�.Q/t 41,00Cf on 4. valvv— of 4-ke p
3. Desdl cf any best management practices to be used to control impacts assodated'A h
the proposed activity (Le., control of runoff from impervious surfaces to provide diffuse flow,
re-planting vegetation or �hanoement of e�dstfig vegetatl �,etc.): v i - 4d rn cc �..: // P 4 �' ©kl QC/•'1 Aib
an eA onc& 7fke- naivral eAV rOA/W.Wf Wi1i be
4. please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Z
r th; s
�bnf
?A2 c. rienf e-' itil: fne-s dMee,
cvhicl� tJv� Il�Maxr�r.�e rn�- "Value# -
(3) If economic hardship is the major con nation, then Include a specific explanation of the
economic heldshlps and the proportion of the hardship to the entire value of the e project.
VO lue, 0� +ire P pw �f a
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):
Mailing address:
'General' Variance Application Form, page 3

City, State, Zip:
Telephone:
Fax:
Emall:
Part. 5: Applicant's Certification
t, 8p, I i4N R2owN I (print or type name of person
listed in Part I, Item 2), certify that the information included on this permit application form is
I be correct, thct(ons n accordance with Part 6 o conformance � � nth all required perm this form will dead restrictions
conditions.
Signature:
Date:
Title:
NC Division of Water Quality (DWQ)
4o1 Wetlands Certification Unit
2321 Crabtree Blvd. (LOCATION)
1850 Mail Service Center (MAILING ADDRESS)
Raleigh, NC 27699.1650
(919) 733 -9728 (phone)
httpJlh2c .enr.state.nau31ncweuands/
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6508 Falls of the Nam Road, Suite 120
Raleigh, North Carona 27615
General Number. (919) 876 -6441
http : //www. saw. usaoe .arrny.miVw&Uands /rogtour.htm
se WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
Post Office Box 1000
Washington, North Carolina 27889 -1000
General Number: [phone]
http : /lwww. saw. usaoe.army.mlWmftndsireoour.htm
Washington District Off{ce
Division of Coastal Management
943 Washington Square Mall
Washington, NC 27889
phone: [phone]
Morehead City Distriict Office
Division of Coastal Management
151 -B Highway 24
Morehead City, NC 28557
phone: [phone]
"General" Variance Application Form, page 4

Please note that this draft version contains edits to the version sent
in the May 3rd mailing. The changes are indicated by
and underline.
" General" MAJOR VARIANCE
From the Neese 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) Riven 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 mast submit to Division of Water Quality (DWQ) three copies of the DWQ
"General" Major Variance Application Form that de mlm how the following conditions of tins
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. T his "General" Major Variance shall expire
on April 11, 2006 unless it is renewed before that time by the EMC.
Conditions:
1. no 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 ftaxi).(iii) and 15A NCAC 2B .0259(9xaxi){iii)J for the
specific rives basin whore the impacts will occur.
3z Applicants must show that the residential lot has been platted and
recorded prior to AMM 1.2000.
,
4. Construction is for residential buildings and related strnetuns 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 Au st 1.2000
Substantial expenditures
and obligations must have ben made in reasonable reliance upon
govermmeetal permits and/or approvals (such as 401 Water Quality
Certifications, CAMA permits, active connection to an existing sanitary
sewer system or local septic system approvals). Supportive written
documentation must be submitted to the DWQ for review.
6. no 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 std

77740��
.dt+v'C
.
lid
' I
e�
.I
8- Any on-site wastewater treatment must not be located within 50 feet of a
lsurr� CAC 28.023730 and O� AC�O� 4AR f O buff
rules. The only exceptions include any pretreatimamt syft= meeting the
Treatment Standard 1 as found in 15A NCAC 18A.1969 Immavattve
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 mwmnize 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 ?one 1. This
mitigation can be accomplished by either (1) payment
into the Riparian
Buffer Restoration Fund (administered by the DWQ Wedainds
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 Offices for any
current requirements for CAMA Major, Minor or General Permits.
Signed:
Dr. Charles H. Peterson, Chair
Water Quality Committee
NC Environmental Management Commission
Effective Date: