20071121 Ver 1_Variance Request_20070627

QFFIGE USE ONLY: Date Received
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
o1-i~~1
Request
~®
~~~~ 2', ~C°C17
Li T r ~L-WA~
Variance Request Form -for Minor Verianeee
Protection and Maintenance of Riparian Areas Rules
NOTE: This form maybe 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)
o Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC 02B .0259)
a Catawba River Basin: Protection and Maintenance of Existing
Riparian Buffers (15A NCAC 02B .0243)
Part 1: General Information
(Please include attachments if the room provided is insufficient.)
1. Applicant's me (the corporation, individual, etc. who owns the property): # ~ ~ ~ ~'~'~' ~` - Y 5 ~ s` " " ` ' +_
~a ~~1 ~~~
_ ~1- lobo r~ cvS -~' Trct_ _ _J'~p~r~ ___ ---- ------ --- _ __ _ _-- ~ -- aw~,~
2. Print Owner/Signing Official (person legafiy responsible for the property and its c pliance)
r+~ ~~~,~r~~ u~;r~.~l~~~~r
Name: _~ '7~oy-l.~s + Tracy_ _~~~~ _ __ _ _ v~'~~~~?~~: ~ s,t~:~~~~;y~R~~avct~
Title: .J
Street address: .30 ~'7 i /e.~ -~_°_.~ ~ -_ --
_ _ _- _- -
City, State, dip: _~J~ ~,,J Q~r~_ ~ ~-_. _ __ Z ~s~ ~ _ -
-- __ -
Telephone: ~ ZsL) (~- 3~_ _~~~! g'_ - _ _ - _ __ ___ _ .
-- -- __
Fax: (_~SZ) _~ .~~. _- ~1~~_ __.. - - _ _ -
~. Oontact person who can answer estivns about the proposed project:
Name: ~h o mad' _ .f'~l,!~C~ _- ~ -
~_ ___ _ __
Telephone: ~~SL) (0_3 ~ . ~3 ~1.`~ _ _.
Fax: 2SZ), (f, 33 l~9~Lo-_ _ -----_.. -- -- - -
- ---
Email: __.._~ ~_o_'.~.~_f,S ~.-~--Q~r~~ l ~n k ~e~_ __ _ _. .
4. Project Name (Subdivision, facility, or establishment name -consistent with project name on
plans, specifications, fetters,(operation and maintenance agreements, etc.):
Version 2: November 2002 "i~o h r~C~r ~ ~ rh`e-~ (~~C~

5. Project Location:
Street address: -3 D''1 /Z t JL~ LA»~-
City, State, Zip: l~l~~J_ Sl~rr~ ~_1~_~ _ ? ~J"~?.--- - -
----
County: ~ r ay~_~-___._-~_--- ----
Latitude/longitude: __~,~r~,~ 07~~ 4~ ~ ~ 1~~. ~j~ p~ ~
C, Qirectians to site from nearest major intersection (Also, attach an t3'h x 11 copy of the USGS
topographic map indicating the location of the site):
~_~~-~ ~~~ i ~ ~~--L.~~ ~~s~~- ~~_ ter,. _ ~4~ ~r.~~A.~. _L ~-~~'~~ ~ _c,~rk- )
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 identified within the Schedule of Classifications 95A NCAC 2B .0315
Neuse or .0315 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:
__- _. _._______ LAMA 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
(P/ease in~l~de a##achment~ if the rr~9m provided i~ 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 ft2.]:
!%h ~ 0.r .~ .-~.L - P--~'1.5~.'.1 n~ . _' -Q-1' 1~_1 0(.~.~ _ f~Q~]C.~_~.( LDVU~ 2
_-
"~ _ r ~_ _~A~1 . 1? k~-der- ~ ___.~__ ~-~ -f^t ~ . - --- _ _
2. Mate reasons why this plan for the proposed activity cannot be practically accomplished,
reduced o~r re~c"onfigured to better minimize or eliminate disturbance to the riparian buffers:
- --_ _~ __. ~_~_~~ --~ ~-~- . _JDr.c.~-
y-- ' _~ ..
-,~-----
Variance Request Form, page 2
Version 2: November 2000

3. Description of any best management practices to be used to control impacts associated with
the proposed activity (i.e., control of runoff from impervious surfaces to provide diffuse flow,
re-planting vegetation or enhancement of existing vegetation, etc.):
_ ... _ W C -- ,,v t i l p l ~?'~?t J -~t's~.~_- ~. n ~-_ ~~~-iv~.~tr~ _ lt. ±''Q 4^_a,~ --~~ ~,2Q / - r-.-t~,~
_ ~ ~- - _.~s~..._ - _ _- - _. __._ - . ___ __
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.
-- ____ .~ro QY~} - _.is . ~r~-r~r;~ .W~flgr~.~5 _gn~,..__ _ _ ~~M ~~~
. -----aIQ -- -
(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
sy 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
sate of any lot.
Part 4: Agent Authorization n! lR
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:
City, State, Zip:
Telephone:
__. _ - --
Fax:
_ _____ _
Emil:
Part 5: Applicant's Certification
Variance Request Form, page 3
Version 2: November 2000

I, ` ~~~ ~~5 fi_ ~r -, ~--s-~O hr~r - - ._ ___ _ - - - _ __ (print or type name of person
listed in Part I, Item 2), certi 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 atl required permit
conditions. !~
Signature: __-___.__ -_ __-
- ---- -
Date: _ -__ __-_ _--__ ~!~-~~..__~.~--a0~ _ __-_ - __ _ _-
Variance Request Form, page 4
Vers+on 2: November 2000

V/ W W ~ V/ W
m
~ ~ ~ ~ ~
~ ~ ~ ~ ~ ~ ~
r ~
d ~ ~ ~l404 WETLANDS ~ ~ ~ DLO T 21
LOT 3 ~ \ _.- /
~ ~ 32,185 +/- sq.tt ~ ~
0.74 +/- acres
INCLUDING ACCESS EASEMENT
J/ ~ J/ ~L' J/ i
.-.
a
~~ ~ ~ ~ ~ ~
~, $.
~~ 4
~ ~ ~ ~ ~
COtdR
s
~' -•...~~ S 53'43'48' W C-1 7 ~--- ---Z
47.oi' COMP
\~ r N
z ` `~ ' --~._ _ _ 30' ACCESS EASEMENT ~ ~ ,_,.,....•.•-~ ~
~. \ 1'9 g - - - - - -- 8 ~l ;
N* -.'~
'~-a ' ?' ` . R • '~ S 53'43'48" W C-~ ~ __..- _r..t
"'~ ~ 7 ~ • °,.~ ~~ ~:, "j'`•'- 17.x'
W~ • •~.' ~
~I ~ v -nc ` I
Z ~ ~~ ~~
~ ~_~ ~' „_ LOT 2
= Y w~ ~ " ~ /
o ----
~I ~ '~~a •.~•
~ 2a
2~ °•C7 + j Qca~ 6~ °p~sr' K" ~ ,y;~"^~n,~p~,,,,~~ 1
(~f, iAI ~ // 16 IC a !~~ ~
iU •` ~~ Q '
lao~ ~ ~
I ~c
• I ~
~ ~ I
t _
.~ ! I
~ .. ~
- -•i ~~ CO'MP' `.r- .~. ~..
F~ p w ~ -' ~,
~~- AVERAGE MEAN HIGH WATER UNE
t ~
~ 1 -~o. Kn ~ ____

:~
(~\
w
~`
_• /-\~
:=~ ~_
t.
~~-~
C~