20081597 Ver 1_Minor Variance_20081020

6
OFFICE USE ONLY: Date Received Request #
State of North Carolina=
Department of Environment and Natural Resources
Division of Water Quality w,
Variance Request Form - for Minor' ar ances-h }
Protection and Maintenance of Riparian Areas Rules
NOTE: This form may be photocopied for use as an original.
Please identify which Riparian Area Protection Rule applies.
Meuse 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)
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):
2. Print Owner/Signing Official erson legally responsible for the property and its compliance)
Name: _:1.1 T o_I?P.?..._-------
Title:
Street address:
971,1V Ayt)Wbal2f
City, State, Zip: ,_ V1 V1, N C, a R&10 q
Telephone: ) ly d- 7 4 ,Z -
Fax: sS )s 7-U LF tq
3. Contact person who can answer questions about the proposed project:
Name: .i i)A,, n. \ nv?rs
Telephone: 7-6
3`'d
Fax: )-c t',? 7-/X3 E`J
Email: A(id!A '?iv1nview. us
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans specifications, letters, operation and maintenance agreements, etc.):
) nd i ?! LIalo--
5. Project Location:
Street address:
City, State, Zip:
County:
Latitude/longitude:
Version 1: February 2000
4
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
S t ze a-? 100
(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:
Designated agent (individual or firm):
Mailing address:
City, State, Zip:
Telephone:
Fax:
Email:
Part 5: Applicant's Certification
I, 7? )14 0 • pYk?S? _ (print or type name of person
listed in Pa l , 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 3
Version 1: February 2000
Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
6. Directions to site from nearest major intersection (Also, attach an 8'/z x 11 copy of the USGS
topographic map indicating the location of the site):
7. Stream to be impacted by the proposed activity: IVevSe. R -, VeY
Stream name (for unnamed streams label as "UT" to the nearest named stream):
Stream classification [as identified within the Schedule of
.0315 (Neuse) or.0316 (Tar-Pamlico)]:
ns 15A NCAC 2B
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
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 W.:
A.., ..It,.A,
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:
I I (1 11 r- I. r r - r _. n. . 1.
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.):
Variance Request Form, page 2
Version 1: February 2000

FILED
PAMLICO COUNTY Prepared by:
12,06/2000 10:54 AM Joseph S S. Bower
JOYCE E CARAWAN
Register Of Deeds
NORTH CAROLINA
QUITCLAIM DEED
PAMLICO COUNTY
NP PRE
EXAANNATWi
G0ND'Ut?rg 4:tD
1'+MTE & I4, IEN,
WHITE & ALLEN, P.A.
ATTORNEYS AT LAW
KINSTON, N.C.
THIS DEED, made this 27th day of July, 1999, by JOHN S.
OLSEN and wife, MARGIE B. OLSEN, Grantors; to JUDY OLSEN JONES,
Grantee; 2715 BROOKHAVEN DRIVE, KINSTON NC 28504
W I T N E S S E T H:
That Grantors, for a valuable consideration paid by
Grantee, the receipt of which is hereby acknowledged, have
remised and released, and by these presents, do remise, release,
and forever quitclaim unto the Grantee, her heirs, successors
and assigns, all right, title and interest, including but not
limited to their life estates in that parcel of land lying and
being in Pamlico Township, Pamlico County, North Carolina, and
more particularly described on Exhibit A attached hereto and
incorporated herein by reference.
TO HAVE AND TO HOLD the aforesaid parcel of land and
all privileges and appurtenances thereto belonging to the
Grantee, free and discharged from all right, title, claim or
interest including, but not limited to Grantors' life estate in
and to the aforesaid parcel of land.
The designation Grantors and Grantee as used herein
shall include said parties, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine
or neuter as required by context.
VIA,
/,,1 _ is- a o00
IN WITNESS WHEREOF, the Grantors have hereunto set
their hands and seals, the day and year first above written.
Book
Page (SEAL)
0359 0583
John S. Olsen
(SEAL)
Margie.%?. Olsen
NORTH CAROLINA
COUNTY
Personally appeared before me this day JOHN S. OLSEN
and wife, MARGIE B. OLSEN, and acknowledged to me their due
execution of the foregoing instrument for the terms and purposes
therein set forth.
Witness my hand and notarial seal, this day of
19 9 9 . _
?.
Notary Pub1i.
rl N
My commission expires: _-
NORTH CAROLINA
PAMLICO COUNTY
The
cei`fied to
registration
office.
foregoing certificate of
0o ; ] G
be correct. This n
this ? day of
., and recorded in Book _
. Y/\_
str'ument was
Page
_
U is
s filed for
6aO-&_, at
, in this
Re 'st of Deeds of Pamlico County
By
27838phw.lmr - 016016-527
2
WHITE & ALLEN, P.A.
ATTORNEYS AT LAW
KINSTON, N.C.
EXHIBIT A 0359 0584
WHITE & ALLEN, P.A.
ATTORNEYS AT LAW
KINSTON, N.C.
ATTACHMENT TO QUITCLAIM DEED BY JOHN S. OLSEN and wife, MARGIE
B. OLSEN, Grantors; to JUDY OLSEN JONES, Grantee:
PARCEL NO.1. Lot 12, located on "Lee's River View", Pamlico
County, North Carolina (on Neuse River). Map and Survey by
Darrel D. Daniels, C.E., December 1954. Recorded in Map Book 2,
Page 42, Office of Register of Deeds, Pamlico County, North
Carolina.
PARCEL NO.2. Beginning at a point on the Northern right-of-way
line of Lee Road, said point being S88 20W 60' from M. H. Lee's
Southwest corner, and running from said point of beginning S88
20W 60' along said Northern right-of-way line; thence
Northwardly along a line parallel with M. H. Lee's western line
1251; thence N 88 20E 601; thence Southwardly 45' to the
northwest corner of the lot deeded to Joseph Whittaker as
recorded in Book 138 at Page 553, Pamlico County Registry;
thence Southwardly along with said Joseph Whittaker's western
line 80' to the point of Beginning.
PARCEL NO. 3. Beginning at an iron stake set, John S. Olsen's
northwest corner, Db. 147, pg. 673, said iron stake being
located N. 03 deg. 00 min. W - 125.00 feet from an iron stake
set on the northern right-of-way of N.C.S.R. 1304 or Lee Road,
said iron stake located on the northern right -of -way of Lee Road
or N.C.S.R. 1304 being located S. 88 deg. 20 min. W - 120.00
feet from an existing iron stake found on the northern right-of-
way of Lee Road or N.C.S.R. 1304, said iron stake being located
on the western property line of M. H. Lee, Mb. 2, pg. 421,
thence from the point of beginning N. 03 deg. 00 min. W - 197.36
feet to a new iron stake set in the centerline of an electrical
easement, thence with the easement S. 88 deg. 35 min. E - 60.16
feet to a new iron stake set, thence S. 03 deg. 00 min. E -
194.12 feet to a new iron stake set, John S. Olsen's northwest
corner, thence with Olsen's northern property line S. 88 deg. 20
min. W - 60.00 feet to the point of beginning, containing 0.27
acres more or less and being a portion of Db. 105, Pg. 34,
Pamlico County Registry, said property is subject to easement of
record for electrical easements. Being 0.27 acres as depicted
on Map entitled "Survey for John S. Olsen & Margie B. Olsen"
dated August 14, 1991 prepared by Joey Brochure & Associates,
P.A., attached to that deed in Book 276, Page 124, Pamlico
County Registry.
27838phw.lmr
016016-527
3

AUTHORIZATION TO USE AN EXISTING SYSTEM
PERMIT VALID ONE YEAR FROM DATE OF ISSUANCE
PERMIT #: 65997 MAP * G101-32
APPLICANT NAME Judy Jones
ADDRESS: 2715 Brookhaven Drive
CITY : Kinston
STATE NC ZIP: 28504
PROPERTY ADDRESS/LOCATION: 512 River Road
System installed early 1960's based on owner information
Minimum 25' setback met (earliest applicable setback)
Repair to system will require pump and haul or relocation to
TYPE OF DWELLING: MI-1/modular an offsite area
NUMBER OF BEDROOMS: 2
WATER SUPPLY: public Any new structure must maintain 5' minimum setback from
SYSTEM ORIGINALLY INSTALLED: no record on file S/T or drainfield area
OWNER AT DATE WA
SYSTEM PARAMETERS:
TO THE FULLEST EXTENT THAT
WE ARE ABLE TO DETERMINE
FROM SITE EVALUATION AND/OR
WITHOUT PREVIOUS DOCUMENTATION
THE SEPTIC SYSTEM PARAMETERS AT
THIS SITE ARE AS FOLLOWS:
TANK SIZE 900-1000
NO. OF LINES: WA
LENGTH OF LINES: WA
TOTAL LINEAR FEET: WA
TOTAL SQUARE FEET: WA
WE DO NOT GUARANTEE SYSTEM
PARAMETERS OR PERFORMANCE.
SKETCH RIVE_RD_RIV_E30' R_IONTOFWAY
(Formerly Known as Lee Read, see Map Book 1, Page 42) 71
/

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DEED BOOK 45

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Will SET
Nur-ND
THE SYSTEM LOCATED AT THIS SITE SHOWS NO SIGNS OF FAILURE AND AT THIS TIME IS
FUNCTIONING PROPERLY, AND MAYBE PLACED INTO USE.
IF THE SYSTEM SHOULD MALFUNCTION IN THE FUTURE, IT SHALL BE THE OWNER'S RESPONSIBILITY
TO APPLY FOR AN IMPROVEMENT PERMIT FOR A REPAIR OF THE SYSTEM.
FAILURE TO MAINTAIN A PROPERLY OPERATING SEWAGE COLLECTION AND DISPOSAL SYSTEM IS A
VIOLATION OF NORTH CAROLINA STATE LAWS AND RULES GOVERNING SANITARY WASTEWATER
TREATMENT, AND DISPOSAL.
NCDENR AGENT: DATE: -L/ LD? , e 46z2,e:2L /T Bryan C. Harris, R.S. r
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IPS ......................................IRON P1PE SET ~~'e/
1Pf .....................................:1RONPIPE fOUND NEUSE RiVE~'`
DB ....................................DEED BOOK
PG. ..PAGE
PP ......................POWER POtE
R/W . RIGHT Of WAY ` ~ ~ j3. '
CMS CONCRETE MONUMENT SET or+g proP~~Y baundarY ~
GMf ..................................CONCRETE MONUMENT FOUND
x---------x ----------x-----x:--- fENCfl1NE
_ _ _ _
OF ~4t NUMUE~ 12, "LEES RIVER V1E'
f~R JUDV DtSEN JCINES
1, Dennis A. fames, certify that this plat was, drawn Under my supervision from an actual
survey made under my supervision (deed descripition recorded in Boak .
5'12 RIVER R~AI~ page that the houndaries not surveyed are clearly indicated as drawn frooa
infarmatior~ foudd in .Boo& pale......: that fhe ratio of precision ARAPAIf 0E, t4R1`~ ~ARO,~INA
as calculated is L•.. ~.~.~©p~.f:.......,; that#his plat was prepared in accordance with NUMBER FIVE 1'IIWNSHIP, ~A~IIC4 CDUNIY
$.S. 47-3q as amended. 4Vifness my original signature, registrafion number and seal
this...-e..~........day of a ~:::s~::.., A.D. 2008. „lsr:,eau
,~~°~~ls ~h~'G<,,,, ~A~E. l~r ° ~~1° JUNE 6, 20~~
Qy,~;
~rrrunvnr'~r~`_~:.,.»~~.s-,i~r-t~s?hr~^~ _ L-36:2 ~ t,,.i t:t~ _ . _
.~~..,:..:~...............uuar rrrr 10 20 30
p~atfOftn
Registration no ORAPHIG SCALE
0 90071
DENNIS FORNES& ASSOCIATES, PROFESSIONAL LAND SURVEYING, 1266 ROBERTS ROAD, GRANTSBORO, NC 28529 TELEPHONE: [phone];