20011702 Ver 1_COMPLETE FILE_20010118

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Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
November 21, 2001
DWQ # 01-1702
Pamlico County
Mr. Howard and Susan Liles
69 Lakeview Drive
Patchoque, NY 11772
Dear Mr. and Mrs. Liles:
On November 8, 2001 the Division of Water Quality (DWQ) was notified by receipt of your applications regarding your plan to
impact buffers or wetlands for the purpose of constructing a home at Lot 16, Creek Pointe Island in Pamlico County. Approval from
DWQ is required to impact these areas. Please provide seven copies of the foli^mring information and refer to the DWQ # listed above
in your reply. Your application is not complete because you have not provided an original and two copies of the application as stated
on the application form and no site plan was included showing the buffer and hots location.
Please call Todd St. John, Bob Zarzecki or me at [phone] if you have any questions or would require copies of our rules or
procedural materials. This project will remain on hold as incomplete in accords-ce with 15A NCAC 2H .0505©. The processing time
for this application will begin when this information is received. If we do not hea- you by wsitirg within three (3) weeks we will assume
you no longer want to pursue the project and vAll consider it withdrawn.
Snceretir,
Dom-a
cc: Washington DWQ Regional Office
Washington Corps of Engineers
Central Files
File Copy
Wetlands/401 Unit 1650 Mail Service Certef Raleigh, NC 27699-1551 P1x Circe) 733-7005 Fax (9 ,% 733-&893
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
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Customer Service
1 800 623-7748
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micnaei r. tasiey, governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
pmd, ? 2001
nDW # V 1-17?Z
County
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?' C_VV4W Dear Mr.
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On h?6?9L?N?U/ the Division of Water Quality ( Q) was notified by receipt of 26A ur applications regarding your
plan to for the purpose of in , c.v County.
Approval from DWQ is required to disturb these Please provide seven copies of the following information and
refer to the DWQ # listed above in our re I . Your application is not complete becaus y t
res
11 c y Corps of Engineers. Please
show these on maps of suitable scale (for instance 1" = 100 feet) so we can begin to etermine your projects' compliance with 15A
NCAC 2H.0500.
Please call me at (5 i9) 733-1786 if you have any questions or would require pies of our rules or procedural materials. This
project will remain on hold as incomplete in accordance with 15A NCAC 2H .0505(c). T e processing time for this application will begin
when this information is received. If we do not hear from you by writing within three ( weeks we will assume you no longer want to
pursue the project and will consider it withdrawn.
Sincerely,
John R. Dorne ' f
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Central Files
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Wetlands/401 Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Ph: [phone] Fax: [phone] Customer Service
1 800 623-7748
OFFICE USE ONLY: Date Received Request #
State of North Carolina 0 1 1 7 0 2
Department of Environment and Natural Resources
Division of Water Quality
"General" Major Variance Application Form -
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 Quality Committee of the Environmental Management Commission on 5/9/2001)
Please identify which Riparian Area Protection Rule applies.
o Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC .0233)
a 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 Cerdflcat/on Unit; 1050 Mall
Service Center, Raleigh, NC 27899-1850, 919.733-1780 to constitute a complete
submittal. This !form may be photocopied fbr 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):
2.
Print Owner/Signing Official
Name: Qr?
Title: Ott
Street address:
City, State, Zip: lltt?
Telephone:
Fax:
legally responsible for the property and its compliance)
3. Contact person who can answer questions about the proposed project:
Name:
Telephone: ( )
Fax: (......., «) -
"General' Variance Application Form
Version 1: May 2001
Email:
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
CP I--ek r00; ate- "i -W&
5. Project Location:
Street address:
City, State, Zip:
County:
Latitudeflongitude:

8. Directions to site from nearest major Intersection (Also, attach an 8'/1 x 11 copy of the portion
of the USGS topographic map Indicating the location of the site):
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7, Stream to be Impacted by the proposed activity:
Stream name (for unnamed streams label as "ur to the nearest named stream):
GC, ose ('_rr-p_k
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B .0315
(Neuse) or .0318 (Tar-Pamlico)]: 1 S A 1y c A c ?t 3- c3, S
8, Which of the following permits/approvals WlI be required or have been received already for
this project?
Required: Received: Date received: Permit Type:
CAMA Major
CAMA Minor
401 Certlfication/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 fe.:
"General" Variance Application Form, page 2
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:
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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.): L
Aik- - /'V3 l.C % :"/- f LZ C C-; , f ?'/.S A n ?I Liles L 7.tsr7U h
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.
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(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.
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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, M2rQLd dnI /-de,s' (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 Dhrision of Water Quality (DWQ)
401 Wetlands Certification Unit
2321 Crabtree Blvd. (LOCATION)
1850 Mail Service Center (MAILING ADDRESS)
Raleigh, NC 27899-1850
[phone] (phone)
http://h2o. enr. state. ne. ustnamtlands/
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
General Number. [phone]
htip:ltwww.saw.usice.army.miYwetlands/regtour.htm
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
Post Office Box 1000
Washington, North Carolina 27889-1000
General Number. [phone]
http://www.saw.u3soo.ormy.mlYwatlands/rogtour.htm
Washington District Office
Division of Coastal Management
943 Washington Square Mall
Washington, NO 27889
phone: 252!946.6481
Morehead City District Office
Division of Coastal Management
151-B Highway 24
Morehead City, NO 28557
phone: [phone]
"General" Variance Application Form, page 4
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COMMENTS: SET LINES IN AREA IDENTIFIED ON PLOT PLAN BELOW.
IF UNABLE TO MAINTAIN GRAVITY FEED FROM HOME SITE TO
NITRIFICATION FIELD AREA MUST REQUEST REDESIGN AS
LOW PRESSURE SYSTEM BY SANITARIAN
ALTERNATIVE NITRIFICATION FIELD PLACEMENT FOR THIS LARGE
LOT MUST BE CONSIDERED ON SITE SPECIFIC EVALUATION BASIS.
ADDITIONAL FOR ALL SYSTEMS:
LANDSCAPE SYSTEM AREA FOR SURFACE WATER RUNOFF AND GRASS
DO NOT PLACE DRIVE OR ANY BUILDING OVER SYSTEM AREA
OBSERVE ALL PROPER SETBACKS: ref .1950
DISC NATURAL GROUND BEFORE INSTALLATION OF ANY FILL
ALARM A ON-OFF FLOATS ON PUMPS MUST BE ON SEPARATE CIRCUITS
' SEPTIC TANK SHOULD BE PUMPED OUT FOR REPAIRS AS NEEDED OR AS NOTED.
'._IF BUILDING AREA EXTENDS INTO SYSTEM AREA THIS PERMIT WILL 8E INVALID
' IF ANY OTHER REGULATORY AGENCY DENIES PERMITS FOR LAND ALTERATIONS AS
DESCRIBED HEREIN, THIS PERMIT WILL BE INVALID
PLOT PLAN MUST NOT BE ALTERED UNLESS BY SANITARIAN APPROVAL
tRfR!!ltlttR!!!!lRtt!!!!!!tl!!t PLOT PLAN teR!l:RRtetetlr!!!lttatttttRt

SANITARIAN VKD Zil /??? DATE 07/31/89
NOTE: ALL SEPTIC SYSTEMS MUST BE INSPECTED AND RECEIVE APPROVAL BY A
SANITARIAN OF THE LOCAL HEALTH DEPARTMENT BEFORE BEING COVERED
OR PLACED INTO USE AND NO ELECTRICAL CONNECTION SHALL BE ALLOWED
UNTIL APPROVAL HAS BEEN RECEIVED. (G. S. 130A-337d,339)