20091239 Ver 1_Major Variance_20091117

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?A??? N O V 1 7 2009
WIRER DEW . WATER QUALITY
North Carolina Department of Environment and Natural Resources WETLANDS ANDSTORMWATERBRANCH
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Director 0 9 _ ' 2 3 Secretary
Governor
Variance Request Form M
(For Minor and Major Variances) /101/
Protection and Maintenance of Riparian Areas Rules r
NOTE: This form may be photocopied for use as an original.
Check the appropriate box below:
X Major Variance
? Minor Variance
Please identify which Riparian Area Protection Rule applies (Note-this must be one of
North Carolina's four buffered river basins. The River Bain map is available at
http /ih2o.enr.state.nc.us/admin/maps/.)
? 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 co ration, i dividual, etc. who owns the property):
2. Print owner/Signing official (person le ally responsible for the property and its compliance)
Name: f
Title: __Qjc???2 _
Street address:
?C
City, State, Zip:
Telephone: vnc-UA/z = -41-1'271.10 --- - - - - ----- - - --- ---
Fax:
3. Contact person who can answer questions about the proposed project:
Version 6: July 2009
Name: ?Z U fd 4, "44i JQS .---- ----
Telephone: i_;)_?/ f? - Sr7? d ----- ---------- -----
Fax: ( ) -------
Email:
4. Project name (Subdivision, facility, or establishment name - consistent with project name on
mans- specifications. letters. operation and maintenance agreements, etc.):
5.
Street address:
City, State, Zip:
County:
Latitude/longitude:
6. Date property was purchased: 101d___
. _-
7. Directions to site from nearest major intersection (Attach an 8 '/2 x I 1 copy of the USGS
topographic map indicating the location of the site).
8. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
- h?10???_._- t _ _ - - ----- ------- --- ----
9. 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
----- -----
Erosion/Sedimentation Control
Others (specify) f?11a _[ANC -_
Part 2: Proposed Activity
(Please include attachments if the room provided is insufficient.)
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 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.:
Variance Request Form, page 2
Version 6 July 2009
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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 our plan sheet
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4152 "Alt _i _AAfe,e e-45
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 your plan sheets.
3. What will be the annual nitrogen load contributed by this 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 nitrogen6 Final Final
basin drainage nitrogen 6 loading removal nitrogen6 nitrogen6
basin rate without BMPI efftciencys loading rate loading
(ac) (lbs/ac/yr) (%) (Ibs/ac/yr) from
drainage
basin lbs

2
3
4
S
Totals ----- ---- ____--
ltrracn calculation ana references.
s Attach calculations and references.
6 Include Phosphorus in the Tar-Pamlico Basin
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,your application can be downloaded from the following website:
httpJih2o.enr.statc.nc.us,'su/bmp fortns.htni
Variance Request Form, page 4
Version 6 July 2009

2. Fill in the table below to identify the square footage of impact to Zones 1 & 2 in the protected
riparian buffers and the required mitigation (Fill in the impacts portion of the table, even if
mitigation is not required):
Buffer Impact
Zone of Impact in Number Purpose for
Multiplier Required
Impact Square Feet (Indicate on the Impact Mitigation
Plan Sheet
Zone 1 .5`1910 5'6 o Q 3
Zone 2 Q 0 5U P GA- 1.5
Total WAAW, 00

'Zone 1 extends out 30 feet perpendicular from the most landward limit of the top of bank or the rooted herbaceous
vegetation; Zone 2 extends an additional 20 feet from the edge of Zone 1.
3. State reasons why this plan for the proposed activity cannot be practically accomplished, reduced
or reconfigured to tter m nimize or elimi to disturbance to the riearian buffer
4. 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.):
,tAs?! _a t ,mss s _,k t _ 1N?9t!_1_risr?}
5. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this Rule.
o-, s
-AM-Wet f ti!!r Sly b l? ?_-ifs _e-«?-,.cy-k_u s 1. /K_?rtg
(2) How these difficulties?pr hardships result from conditions that are unique to the property
involved.
1124 A/ 6F-,0,0A_-AS WAWej' 429,'71 S"
Request Form, page 3
Variance
Version 6 July 2009
Part 4: Proposed Impacts and Mitigation
Provide a description of how mitigation will be achieved at your site pursuant to 15A NCAC 213.0242
for the Neuse Basin and 15A NCAC 213.060 for the Tar-Pamlico Basin.
If buffer restoration is the method you are requesting, be sure to include a detailed planting 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
can be downloaded at the following website: httpa/tivFVtiv.nccen net/news/reports/buffers pdf
If payment into a buffer restoration fund is how you plan to achieve your mitigation requirement, then
include an acceptance letter from the mitigation bank you propose to use stating they have the
mitigation credits available for the mitigation requested.
Part 5: Deed Restrictions
By your signature in Part 6 of this application, you certify that all structural stormwater BMPs
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 6: Applicant's Certification
(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'reeorded with -alfi wired permit conditions.
Signature:
t
Date:
Title: rc,'
Part 7: Plan Sheets
Be sure to include a copy of all of your completed application form, plan sheets and maps in Adobe
(pdf) format on a CD or floppy disk.
Variance Request Form, page 5
Version 6 July 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 wish the request to be heard. Initial below to indicate that the
necessary information has been provided.
Applicant's Item
Initials
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)
r
Narrative demonstration of the need for a variance (see Part 2)
A detailed narrative 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) removal from proposed BMPs (see Part 4)
,?
r • Location and details for all proposed structural stormwater BMPs (see Part 4)
h
f
f or eac
Three copies of the applicable Supplement Form(s) and I&M Form(s)
BMP and/or narrative for each innovative BMP (see Part 4)
r
• Three copies of plans and specifications, including:
0 Development/Project name
0 Engineer and firm
0 Legend and north arrow
0 Scale (I" = 50' is preferred)
0 Revision number & date
0 Mean high water line (if applicable)
0 Dimensioned property/project boundary
0 Location map with named streets or NC State Road numbers
0 Original contours, proposed contours, spot elevations, finished floor
elevations
0 Details of roads, parking, cul-de-sacs, sidewalks, and curb and gutter
0 Footprint of any proposed buildings or other structures
0 Wetlands delineated, or a note on plans that none exi?,i
0 Existing drainage (including off-site), drainage easements, pipe sizes,
runoff calculations
0 Drainage basins delineated
0 Perennial and intermittent streams, ponds, lakes, rivers and estuaries
Location of forest vegetation along the streams, ponds, lakes, rivers and
asn?aries
Variance Request Norm. page t
Version 6 July 2009
Driving Directions from Chocowinity, NC to 1940 Canady Landing Rd, Aurora, NC Page 1 of 2
MAPQUEST
Total Travel Estimates: 53 minutes / 36.31 miles
A: Chocowinity, NC
1: Start out going NORTHEAST on US-17 toward NC-33. 0.0 mi
r? ?? 2: Turn RIGHT onto NC-33. 27.9 mi
h 3: Turn LEFT onto WILLIS RD. 0.7 mi
?? 4: Turn RIGHT onto SPRING CREEK RD. 5.5 mi
t 5: SPRING CREEK RD becomes INDIAN ISLAND RD. 0.6 mi
?'? 6: Turn RIGHT onto CANADY LANDING RD. 1.6 mi
7: 1940 CANADY LANDING RD is on the LEFT. 0.0 mi
B: 1940 Canady Landing Rd, Aurora, NC 27806-9413
http://www.mapquest.com/maps? l c=Chocowinity& i s=NC& l y=U S& 11=35.512501 & l g=-... 11/5/2009
Driving Directions from Chocowinity, NC to 1940 Canady Landing Rd, Aurora, NC

Page 2 of 2
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Beaufort
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Beaufort County Home Page I Data Layers I Background Layers I Search for a property I Search using a Street Name
Your search found the
following database
information. Map will display in
a few moments.
SEARCH RESULTS:
-- JUDSON T
NAME2
ADDR1
1802 RECYCLING
PROP-ROAD SR 1902 OFF
ACRES 2.04
ACCT_NBR 889340
MAP-SHEET 750800
NBR_BLDG 0
DATE 4114/2008
DB_PG 1639/0350
35142
BLDGVAL 0
P 0
35142
AW
AVERAGE WATEI
DISTRICT 14
PROP_DESC LOT3CANADY
LANDING REVISE
TYPE

i 00000004
http://www2.undersys.com/beaufortweb/beaufortmain.html 11/5/2009
Page 1 of 1
Site: LOT 3 CANADY LANDING REVISED
in
V

2.04A
3 (2.05A)
2476
4
17
1.58A
e-' (1.57A)
" 5445

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f
Property Details:
PIN 1 114006853 GPIN 1 17508-74-2476
GPINLONG 1 17508-74-2476 1NNAME1 1 1WHITEHURST JUDSON T
NAME2 ADDR1
ADDR2 802 RECYCLING LANE CITY GREENVILLE
STATE NC 1 1 ZIP 1 127834
PROP ROAD SR 1902 OFF ACRES 2.04
ACCT NBR 1 1889340 1 1 MAP-SHEET 1 1750800
NBR BLDG -1 10 DATE 1 14/14/2008
DB PG 1639/0350 LANDVAL 35142
BLDG VAL 0 DEFR_VAL 0
TOT VAL 35142 NBHD_CDE AW
NBHD DESC 1 1AVERAGEWATER SUB_CDE
SUB DESC STAMPS 0
SALE PRICE 0 ZONE R
LAND USE DISTRICT 14
PROP DESC LOT 3 CANADY LANDING REVISED = 1 1 175080062
EXMPT PROP EXMPT_AMT 0
ROAD TYPE T
CENSUS BILK
PREVASSESS 0
DISCLAIMER These maps and information either in digital or hardcopy format are provided solely as a public service and they do not meet surveying accuracy standards This map
data is prepared from the inventory of real property found within this jurisdiction and is compiled from recorded deeds. plats, and other public records and data Users of any maps
generated on this site are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information contained on any maps The
county of Beaufort assumes no legal responsibility for the information contained on these maps.
http://www2.undersys.comlscripts/testadv/usiwebbpd.dll/usi?formis=ptmap&MouseX=O&... 11/5/2009
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