20020001 Ver 1_COMPLETE FILE_20011219

"O,;Z\ OF W A TFRQG
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Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
Page 1 of 2
February 10, 2002
DWQ Project # 02-0001
Pamlico County
Page 1 of 2
John W. Bond, Jr.
254 Peninsula Drive
Oriental, NC 28571
Subject Property: Lot # 32, 104 Peninsula Drive, Oriental, NC 28571, Pamlico Co.
Orchard Creek [03-04-10; 27-134; SA HQW (High Quality) NSW (Nutrient Sensitive)]
APPROVAL for the use of the "General" MAJOR VARIANCE; From the Neuse and Tar-Pamlico Riparian Buffer
Rules for the Construction of Residential Structures on Existing Lots within the Coastal Counties as defined by the
Coastal Area Management Act with ADDITIONAL CONDITIONS
Dear Mr. Bond,
You have our approval. in accordance with the conditions listed below, to impact approximately 1,800 ft' of Zone
2 and 200 ft2 of Zone 1 of the protected riparian buffers for the purpose of constructing the proposed single family
residential dwelling and approximately 1,680 ft2 of Zone 2 to construct the proposed driveway on the subject property.
This letter shall act as your approval for the use of the "General" Major Variance; From the Neuse and Tar-Pamlico
Riparian Buffer Rules for the Construction of Residential Structures on Existing Lots within the Coastal Counties as
defined by the Coastal Area-Management Act with ADDITIONAL CONDITIONS as approved by the Water Quality
Committee (WQC) of the Environmental Management Commission (EMC) on May 10, 2001. In addition, you should get
any other required federal, state or local permits before you proceed with your project including (but not limited to)
Sediment and Erosion Control and CA-MA permits.
This approval is only valid for the purpose and design that you described in your variance request form dated
December 12, 2001 (received by this office on December 19, 2001) except as modified below. If you change your
project, you must notify us and you may be required to send us a new request for approval. If the property is sold, the
new owner must be given a copy of this approval and is thereby responsible for complying with all conditions. For this
approval to be valid, you must follow the conditions listed below.
1) Stormwater-shall be directed as diffuse flow at non-erosive velocities through the protected stream buffers as
identified within 15A NCAC 2B .0233(5). Roof drainage from the house shall be directed to vegetated areas at
non-erosive velocities prior to entering the protected riparian buffers. Any additional stormwater located on the
remainder, of the property shall be directed as diffuse flow at non-erosive velocities prior to entering the
protected riparian buffers. No new ditching or piping of stormwater through the protected buffers is allowed.
2) The outside boundary of Zone 1 (30 feet from the coastal wetland or surface water, whichever is more landward)
shall be clearly marked with orange fabric fencing Or sirimilar clearly visible markers) for the length of the
construction area that has been approved to infringe within the buffer prior to and for the duration of any land
disturbing activities to ensure compliance with 15A NCAC 2B .0233.
3) You are required to mitigate for impacts to Zone 1 of the protected riparian buffers. The required area of
mitigation to compensate for impacts to Zone 1 of the protected riparian buffers shall be 200 square feet as
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Faleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvc., Raleich, NC 27604-2260 (Location)
919-733-1786 (phcne), 91?-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/
Page_ 2-of 2
required under the "General" Major Variance for Coastal Counties. To satisfy this mitigation you may either;
plant two (2) native hardwood trees within Zone 1 of the retained portions of the protected buffers and ensure
their survival for at least five (5) years; or make a payment into the Riparian Buffer Restoration Fund
administered by the NC Wetlands Restoration Program (WRP). In accordance with 15A NCAC 2B .0242(7),
this contribution will satisfy our compensatory mitigation requirements the "General" Major Variance for
Coastal Counties.
If you choose to plant native trees in the buffer you must submit a map indicating the location of the trees to be
planted, the species type of trees to be planted and a schedule for when the planting will occur.
If you choose to make a payment into the Riparian Buffer Restoration Fund you must comply with the
following. Until the WRP receives and clears your check (made payable to: DENR - Wetlands Restoration
Program Office), no impacts specified in this approval shall occur. Mr. Ron Ferrell should be contacted at (919)
733-5208 if you have any questions concerning payment into the WRP. You have one month from the date of
this approval to make this payment_ For accounting purposes, this Approval authorizes payment into the
Riparian Buffer Restoration Fund to compensate for 200 fe of required riparian buffer mitigation for
impacts to 200 ftZ (and 20 linear feet) of protected riparian buffers; 03-04-10, 27-134 river and subbasin."
If you do not accept any of the conditions of this approval, you may ask for and adjudicatory hearing. You must act
within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition that conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, NC 27699-6714. This approval and ? conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Dnision of Water Quality under the Neuse River Riparian Buffer Protection
Rules (15A NCAC 2B .0233 (9)(b)). Please ?? Nir. Bob Zarzecki at 919-733-9726 or Ms. Deborah Sawyer at 252-946-
6481 if you have any questions or require corpi?s of our rules or procedural materials.
Sincerely,
ry T: Th rpe, D
'JAtt' g Director; WQ
i
Cc: Deborah Sawyer', DWQ Washington 1Lvoa1 Office
Ron Ferrell, DWQ Wetlands Rest? Program
File copy
Central Files
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NORTH CAROLINA DIVISION OF WATER QUALITY
General Variance (Coastal Counties)
SUMMARY OF PERMITTED IMPACTS AND MITIGATION REQUIREMENTS
In accordance with 15A NCAC 2B.0233, Mr. Bond has permission as outlined below and within the attached
variance approval to impact buffers for the purpose(s) of constructing the proposed residence on the subject lot. All
activities associated with these authorized impacts must be conducted with the conditions listed in the attached variance
approval. THIS VARIANCE APPROVAL IS NOT VALID WITHOUT THE ATTACHMENTS.
COMPENSATORY MITIGATION REQUIREMENT WETLAND RESTORATION PROGRAM (WRP)
DWQ Project No.
LOCATION:
COUNTY:
BASIN/SUBBASIN
020001
ORIENTAL
PAMLICO
03-04-10, 27-134
As required by 15A NCAC 2B .0233 and the conditions of the variance approval, you are required to compensate
for the above impacts through the restoration or enhancement of buffers as outlined below prior to conducting any
activities that impact or degrade the waters of the state.
0.0 acres of Class WL wetlands
0.0 acres of riparian we.iand
0.0 acres of non-riparian wetland
0 feet of stream channel
200 square feet of riparian buffers
One of the options you have available to satisfy the compensatory mitigation requirements is through the payment
of a fee to the Riparian Buffer Restoration Fund per 15A, NCAC 2B .0242. If you choose this option, please sign this form
and mail it to the WRP at the address listed. below. An invoice for the appropriate amount of payment will be sent to you
upon receipt of this form. PLEASE NOTE, THE ABOVE IMPACTS ARE NOT AUTHORIZED UNTIL YOU HAVE
RECEIVED NOTIFICATION THAT YOUR PAYMENT.FIAS BEEN PROCESSED BY THE WRP.
Signature
WETLANDS RESTORATION PROGRAM (WRP)
NC DIVISION OF WATER QUALITY
1619 1Aatl Service Center
Ralei?, NC 27699-1619
[phone]
4
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
Date
North Carolina Division of Water Cvality, 471 Wed-ands Certification Unit,
1650 Mail Service Center, Raleicr- NC 27F_-_ (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2=0, ?-cation)
919-733-1786 (phone), 919-733-?i8S3 (fax), r,.?_':F2o,snrsate.rc us nc v4aiands/
Re: GC review, Tardy and Tracking Notice, WARD, 2/5/02
Subject: Re: GC review, Tardy and Tracking Notice, WARO, 2/5/02
Date: Tue, 05 Feb 2002 16:18:50 -0500
From: Tom Steffens <Tom.Steffens 9ncmail.net>
To: Bob Zarzecki <[e-mail]>
Bob,
Bond 02-0001--- I need to let you know that Orchard Creek is SA waters and the septic
field has been placed the requisite 100 feet from the waters. According to the former
Pamlico Co sanitarian that now works in our office, a reduction in the size of the hou:
to a 3 bdrm would facilitate the septic system being smaller in length, (by going to
type 3-G system (innovative chamber) the pipe length would lower by 25%) and that
combined might be able to move the structure 25 feet or so landward from the water. T:
movement of the house would be in a direction that is kind of oblique and somewhat
parallel to the water and would result in only a marginal reduction in impacts. Ther.
the assumption that a type 3G system does not already exist in the plans.
I would issue it as is because the net gain in impact reduction probably isn't going
be that significant.
toms
Bob Zarzecki wrote:
> Deborah & Tom,
> Below are my recommendations.
>
> 011866 On-hold; needs to provide need for bulkhead (i.e., shoreline stabilization);
> will other methods work instead; how do they intend to protect woody vegetation with.
> Zone 1; is the lot currently cleared or is it forested; provide photos
> 011889 On-Hold; provide additional information as to why they can't combine lots to
> avoid or minimize impacts; 0.5 acres of impact! SA HQW water
> 011872 Issue
> 020001; variance; lots of impact.to Zone 1, but it appears that it can not be avoide,
> do to the required location of the septic system; ISSUE????
> Please provide comments ASAP. I know we all have a lot going on but I need to clear
> some of these old projects off my desk. If we do not hear from you by Friday we'll
> need to follow the recommendations listed above. Thanks for the help,
> Bob
> Cyndi Karoly wrote:
> > Hi Deborah and Tom.
> > Below is this week's 401 Tracking Notice for the Washington Regional
> > Office. The Central Office has not received your recommendations for
> > these projects as of February 5, 2002. If you have not received any
> > application, please let me know and I will fax it to you. Please take
> > note of the date received in the Central Office and the 60-day clock
> > projection. If we do not have your comments by two weeks before the
> > clock expires, we may have to prepare the 401 without incorporating your
> > comments, in order to avoid waiving the 401. Two weeks from today, the
> > application will be forwarded to the appropriate Central Office staff
> > member (Bob Zarzecki) if we do not have Regional Office comments by
> > then. The CO staff will then consult you if time allows and make a
> > recommendation on the 401 to John Dorney.
> > TRACKING:
> > 401 Applications:
> > DWQ No. Project County Permit Type Received Expires
I of 3 2/5/02 5:16 PA
Re: GC review, Tardy and Tracking Notice, WARD, 2/5/02
> > 02-0017 Stephen Armstrong, Currituck Co., CAMA 112102 312102
> > 02-0022 Elizabeth and George Chamberlain, Hyde Co., CAMA 118102 318102
> > 02-0004 NCDOT Halstead Blvd. Bridge, Pasquotank Co., CAMA 112102
> > 3/2/02
> > Variance Requests:
> > 02-0011 Fred & Julie Robinson, Pamlico Co., Received 1/7/02
> > Please use the staff recommendation sheet in Filemaker Pro, and then
> > notify me that the report has been filed. My e-mail address is
> > [e-mail] or you can call me at 919-733-9721.
> > There are three tardy projects for your region this week, along with a
> > variance request, listed on the attachment.
> > Thanks very much for your attention.
> > Also: We won't be able to meet with Coleen until this Friday, February
> > 8 to discuss the General Certification revisions. That leaves us on a
> > very tight schedule, as we'll have to get the public notice out on
> > February 11. A 30-day notice takes us to March 12. We have from March
> > 12 to March 18 to incorporate revisions from the public notice and get
> > Greg Thorpe's signature. Most of these GC's had straightforward
> > revisions, such as updating them to explicitly include things like
> > mitigation thresholds, buffer rules and 'the Certificate of Completion
> > letter. However, the GC's for NW 14, NW 39, NW 18 (39 and 18 have been
> > combined into one GC) have some extensive word-smithing and technical
> > changes. For now, I'm forwarding these two latter GC's for RO review.
> > When all the GC's go out on Public Notice next week, you'll receive an
> > e-mail informing you they're all posted on the web site for review.
--------------------------
> > Name: Tardy Projects.doc
> > Tardy Projects.doc Type: Microsoft Word Document (application/msword)
> > Encoding: base64
> > Download Status: Not downloaded with message
> > Name: 1D3106+3287.doc
> > 1D3106+3287.doc Type: Microsoft.Wo'rd Document (application/msword)
> > Encoding: base64
> > Download Status: Not downloaded with message
> > Name: 1D3289.doc
> > 1D3289.doc Type: Microsoft Word Document (application/msword)
> > Encoding: base64
> > Download Status: Not downloaded with message
Tom Steffens cTom.Steffens @ncmai Lnet>
Environmental Specialist II
DENR/DWQ/WaRO
.401 Wetlands
2 of 3 215/02 5:16 PM
401 comments
Subject: 401 comments
Date: Tue, 05 Feb 2002 16:51:40 -0500
From: Tom Steffens <[e-mail]>
To: Cyndi Karoly <[e-mail]>
CC: Bob Zarzecki <[e-mail]>
Cynd/Bob
the following comments have been entered into the tracking system:
401 Applications:
DWQ No. Project County Permit Type Received Expires
01-1581 Dennis Askew, Washington Co, 401, was on Hold...Issue w/o cond
02-0147 Josie Payne, Currituck , CAMA Issue W/o cond
01-1872 Julian Moore, Beaufort Co, 401, received Waro 9 Jan Issue w/o condition
02-0017 Stephen Armstrong, Currituck Co., CAMA 1/2/02 3/2/02...Issue w/o Conditions
02-0022 Elizabeth and George Chamberlain, Hyde Co., CAMA 1/8/02 3/8/02 ...Issue w/o conditions
02-0004 NCDOT Halstead Blvd. Bridge, Pasquotank Co., CAMA 1/2/02...Issue w/o conditions
- 6) " C?)o
01--06$Z John T. Bond Jr., Pamlico Co. Issue w/o cond
Any questions, call or write
4-U- Ax??
toms
Tom Steffens <[e-mail]>
Environmental Specialist II
DENR/DWQ/WaRO
.401 Wetlands
1 of 1 2/7/02 9:50 AM
To: ?RRO Steve Mitchell Praject Name Lt?A-*3Z- ©? ?,4.0•? ?1c• -
?FRO Ken Av DWO Project Numbeer
E borah Sawyer Camty \I`' ? ?tic?
aRO e
?WiRO Joan n uis
?WSRO Jennifer Frye ? -
C]ARO Mike Parker
?MRO Potie ColweJ 9P
From: Telephone (919).733-
The file attached is being foryrarded to 30u for your eval a5on- Pose call if you need
assistance.
? Stream length imp-a.°d
? Stream detenninaficin
? Wetland determirza5on and cs'ta-, c---- to bi:re-rhe s7xfa:?e voters on USGW topo maps
Minimization/avooda-ice issue
uffer Rul (Nets- T Par di cat--- Pa re"ra1)
Pond fill
? Mitigation Ratios
J' ? Ditching
? Are the stream ac)d ogwetia mffr-bon des ava ,e a i viab4e?
r x ,
k ? Check drawings iAOra?r?y -
? Is the application ca A ycdn?p- i n

AOFFICE USE ONLY: Date Received
a'
State of North Carolina ®® it
Department of Environment and Natural Resources
Division of Water Quality
¦ El/
General Mayor 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 Environmentai management commission on 5/9/2001)
r. .
Please identify which Riparian Area Protection Rule applies.
DEC R 9 7001
? 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)
: ::::::....................:.::........,::w
`^a \ bT ,R 1
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 Certification SJnit,'650 /Vla
Service Center, Raleigh NC 27699-1650, 919-7 - o constitute a complete
su mft his 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):
2
Print Owner/Signing Official
Name: 7TO
Title:
Street address:
City, State, Zip:
Telephone:
Fax:
legally responsible for the property and its compliance)
J (3 6 a -Xi-, .
3. Contact person who can answer questions about the proposed project:
Name: w -
Telephone: 2 ( V 7
Fax: t..:. -J 3 22 - -r t 7 9
"General" Variance Application Form
Version 1: May 2001
- ?S?( ?eA;rl Su Lc. `fir

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Email: J W 6o vt A A S k? n`t c s? tv eT
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, sDppecifications, letters, operation and maintenance agreements, etc.):
5. Project Location:
Street address: L o-!` 3.2- 1 by Ise-Y, t nr u a
City, State, Zip: O 1, t e, t?-t°a t-. e ttt 3 r S 1 1
County: Pa.?u_ Lt. 6o
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):
?ov" h t? S S1>t ?Ywti T _M-e k t f2 .
+? T c)t-c w Cw- e elc yta+ L.? t o>w? -
b h Lt* v 4 CV -_,e..1r 94 44 0+tA l a 1 T /Z s d tv Il t Lt t -e w l w1'v L 4? r
7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
0'r LIke, v-d t. e t jc_
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B .0315
(Neuse) or.0316 (Tar-Pamlico)]:
._ 1 S A-{ ( is
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
LAMA 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 2e 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 ft2.:
?utl? a, ?ou?.,? dw ?.uT 32.. 0 1~c?ord C??Ke/c,
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"General" Variance Application Form, page 2
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2. State reasons why this plan for the proposed activity cannot be practically accomplished,
red
L t, uced or reconfigured to better minimize or eliminate disturbance to the riparian buffers:
--V- I b w S V_ )a -rL c. S G r -? r N4. A cc, u e J 4 L a c -C
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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.):
W ktmw7t•- e V c. w t v- a cL ti t w C-4
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
't,s o a t. d N o-t h< Q i L e v-v 6 c? L L d_ a. ko w? e o A
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
S f 7 It ct "Cl -rA -k -e a -f- 1. d7
(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: Heed 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
1, °-''' 6 A n LAjKd, T?- (print or type name of person
listed in Part 1, 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
[phone] (phone)
http://h2o.enr.state.nc.us/ncwetiands/
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
General Number: [phone]
http://Www.saw.usace.army.mil/wetiands/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.usace.army.mil/wettands/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 Form, page 4
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OFFICE USE ONLY: Date Received Request it
State of North Carolina lei
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 an 5/9/2001)
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Please identify which Riparian Area Protection Rule applies.
? 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)
:.....::..:....,...:.::...:.:...:N:................:...:.:.....
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 PWQ 4011Wetlands Certification Unit 1650 /Vla
Service Center, Ra/ei h NC 27699-1650, 919-7 - o constitute a complete
su m- . This form maybe 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):
2.
3. Contact person who can answer questions about the proposed project:
Name: -0 ? n w - 8 a cl '7
Telephone: (as-2•.)_ y g - . G Y7
Fax: '7 9
Print Owner/Signing Official person legally responsible for the property and its compliance)
Name: ?o t-v 13 a Y" Ck t-.
Title:
Street address: s ?( /? n r n s' . xj r
City, State, Zip: O 1, z -c PxIt-e. L A/,c, Z PS 7 /
Telephone: ' ( 2} -1 q 9- ;)- Y 7
Fax: t xS 21 3' 7- P t? 9
"General" Variance Application Form
Version 1: May 2001
Email: J W 6G v, a S ?c a r< c n. e-I'
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
5. Project Location:
Street address: l;o-t"- --M- 3.2 1 i7Y he h, ? AX U L.0, "`p r.
City, State, Zip: _ O t~ t f -t-G, L_ s fv.c. , ? 2 g S I
County: _ C a, m. L-1, j,&
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):
flH o h -TS, ° r nt c. + r G. ?f'? a K Me k t2 CL.
a S - tQ r w t2 c. 'k r %k Se. e_e h, ct YL d
o +1 T c a c v. C %- -C •c le 12 Z? v?,+ 1,, 4-1- o )%-1-&
o,- kQw? cr??r.c. do v - + LN17 2w n? Get tw?w.l'vt?r
7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT' to the nearest named stream):
6V-L6 V-d Q I. et lC,
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B .0315
(Neuse) or.0316 (Tar-Pamlico)]: _ i S A NI ,? l . n is
B. 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
LAMA 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 ft2.:
v l a k 0%% La-t- 1+- 3 1 4 i^ c. ?o r cl C v s e/c ,
w e- M °t -e a .t CC. ST r L eP4-t A a ./ f-t, 4` Q t V t rGt ,Q
tl-? a .rT I -e..Tt l P.-;f C". to s c a r I W?tl -7-k< b y l4v ti- z o N c.
"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 dearian buffers:
L Corti, b h Q b 1'C G -V C4 r -f- r C* -Q d l L Ptll, 41 .l a c .t
- O iM ti Lv r+-1,. R ..-r ...?.--?.-F . _.. _ . . A
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.):
t:t v`ce?vtrcd
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
N al k t Q is t 'rW U u 't. L d az._ ? n WLr d w
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
Se 7 A.k -e c 1-d?
(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:
"General" Variance Application Form, page 3
City, State, Zip:
Telephone:
Fax:
Email:
Part. S: Applicant's Certification
h n w 1 u vt. c1 TH (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
[phone] (phone)
http://h2o. enr. state. nc. uslncwetiands/
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
General Number: [phone]
http:/Iwww.saw.usace.army.mil/wetiands/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.usace.ormy.mil/wetiands/regtour,htm
Washington District Office
Division of Coastal Management
943 Washington Square Mail
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 Form, page 4
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