20020172 Ver 1_COMPLETE FILE_20020204

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Michael F.
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William G. Ross, Jr., Sec
Department of Environment and Natural Reso
Gregory J. Thorpe, Ph.D., Acting Dir
Division of Water QL
Page 1 0
February 5, 20(
DWQ Project # 02-017
Beaufort Count
Page 1 of
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
Richard and Mary Sue Davis
83 Broadview Circle
Wading River, NY 11792
Subject Property: Lot # 4, Windsong II S/D, Aurora, Beaufort County, NC
Campbell Creek [03-03-07; 29-33-2(2); 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. and Ms. Davis,
You have our approval, in accordance with the conditions listed below, to impact approximately 1,355 ft2 of Zone
2 of the protected riparian buffers for the purpose of constructing the proposed single family residential dwelling and
detached garage on the subject property. In addition, you have our approval, in accordance with the conditions listed
below, to impact 700 ft2 of Zone 1 of the protected riparian buffers for a temporary construction corridor around the
proposed dwelling. (The additional 2,265 ft2 of Zone 2 impact for the temporary construction corridor around the
proposed dwelling does not require our approval as long as the disturbed area is revegetated immediately after
construction is complete.) 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 CAMA permits.
This approval is only valid for the purpose and design that you described in your variance request form dated
February 1, 2001 (received by this office on February 4, 2001) and "Preliminary Plot Plan for Zytoun - Raines
Construction dated 01/03/02, reference Lot 4, Windsong H 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.
The 700-ft2 area of Zone 1 approved to be impacted by the temporary construction corridor around the
proposed dwelling shall be restored with woody and herbaceous vegetation immediately after
construction is complete. The woody vegetation shall be planted at a density of at least 320 native trees
or shrubs per acre and shall include at least five (5) plants.
2. Stormwater shall be directed as diffuse flow at non-erosive velocities through the protected stream buffers
as identified within 15A NCAC 2B .0259(5). Roof drainage from the house shall be directed to vegetated
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwettands/
i Clyc L vi L.
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.
The outside boundary of Zone 1 (30 feet from the coastal wetland) and the outside boundary of the 700 ft'-
temporary construction corridor shall be clearly marked with orange fabric fencing (or similar 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 .0259.
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 its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under the Tar-Pamlico River Riparian Buffer
Protection Rules (15A NCAC 2B .0259 (9)(b)). Please call Mr. Bob Zarzecki at 919-733-9726 or Ms. Deborah Sawyer at
252-946-6481 if you have any questions or require copies of our rules or procedural materials.
Sincerely,
John Dorney,
401 Wetlands Unit, Supervisor
Cc: Deborah Sawyer, DWQ Washington Regional Office
Doug Hylton, Cypress Landing on Chocowinity Bay, 800 Potomac Dr., Chocowinity, NC 27817
File copy
Central Files
DWQ 020172
(Fwd: IFwd: IFwd: Fw: Governor's Wch Site - Other] ]I
Subject: [Fwd: [Fwd: [Fwd: Fw: Governor's Web Site - Other]]]
Date: Tue, 05 Feb 2002 15:50:47 -0500
From: Bob Zarzecki <[e-mail]>
Organization: Division of Water Quality; 401 Certification Unit
To: Johann [e-mail]
CC: deborah sawyer <[e-mail]>
Johanna,
We received the Davis's Variance Request yesterday (02/04/02). It made
it to my box today (02/05/02). The DWQ Washington Regional Office
(WaRO) has been in contact with their authorized agent Mr. Doug Hylton,
Cypress Landing. I contacted the WaRO today. They recommended
approving the permit. The approval letter should go out the door this
week. Please let me know if you need anything else.
- Bob
Subject: [Fwd: [Fwd: Fw: Governor's Web Site - Other]]
Date: Mon, 04 Feb 2002 17:05:10 -0500
From: Bob Zarzecki <[e-mail]>
Organization: Division of Water Quality; 401 Certification Unit
To: deborah sawyer <[e-mail]>
CC: Steve Mitchell <[e-mail]>
Deborah,
I don't have any variance application for a Richard and Mary Sue Davis
or Windsong II, Lot 4. Let me no if there is anything I should be doing
on this. Please respond to Johanna. Thanks,
Bob
Subject: [Fwd: Fw: Governor's Web Site - Other]
Date: Mon, 04 Feb 2002 16:35:51 -0500
From: Johanna Reese <[e-mail]>
Organization: NC DENR
To: Deborah Sawyer <Deborah.Sawyer@ncmai].net>,
Steve Mitchell <[e-mail]>, Bob Zarzecki <[e-mail]>
Can one of you provide these people with the information they need? Please let me know. Thanks.
-------- Original Message --------
Subject: Fw: Governor's Web Site - Other
Date: Tue, 15 Jan 2002 15:39:32 -0500
From: "Governor Office" <[e-mail]>
To: "Johanna Reese" <[e-mail]>
----- Original Message ----
From: [e-mail]
To: [e-mail]: Friday, January 04, 2002 1:25 PMSubject: Governor's Web Site - Other
of '3 2/5/02 3:50 PM
[Fwd: [Fwd: [Fwd: Fw: Governor's Web Site -Other I I]
f
Name: Richard E Davis
Mailing Address: 83 Broadview Circle
Mailing City, State Zip: Wading River, NY 11792
Email: davis3 C6 bn l.gov
Phone: [phone]
Subject: Other
Message: On February 26, 2001, 1 sent an initial written requests to the Washington office
of the Division of Water Quality requesting a clear statement of what
restrictions, if any, the new Riparian Buffer Rule means to the placement of a
residence on my property. (The lot is located seven mile east of Aurora, NC -
Windsong Il Lot 4.) Repeated requests and additional submissions have
followed the initial request. Repeated phone calls and E-mails to the
Washington office, over a period of the last two months and as recently as late
December of 2001, inquiring on the status of my request have gone unanswered.
At the end of December 2001, my wife and I entered into a contract with a local
builder to construct a home on our lot. It is therefore imperative that the DWQ
address my prior request as soon as possible. Any help that your office could
render, would be greatly appreciated.
Richard and Mary Sue Davis
83 Broadview Circle
Wading River Ny 11792
phones: work [phone] - home [phone]
Bob Zarzecki
NC DENR/DWQ 401 Wetlands Certification Unit
919-733-9726
Bob Zarzecki
NC DENR/DWQ 401 Wetlands Certification Unit
919-733-9726
2 of 3 2/5/02 3:50 NM
[Fwd: [Fwd: [Fwd: [Fwd: Fw: Govemor's Web Site - Otherlll I
-Subject: [Fwd: [Fwd: [Fwd: [Fwd: Fw: Governor's Web Site - Other]]]]
Date: Tue, 05 Feb 2002 14:56:51 -0500
From: Deborah Sawyer <[e-mail]>
Organization: DENR
To: Bob Zarzecki <Bob.Zarzecki @ncmail.net>
Bob,
I agree; go with it.
Thanks,
Deborah
Subject: Re: [Fwd: [Fwd: [Fwd: Fw: Governor's Web Site - Other]]]
Date: Tue, 05 Feb 2002 14:53:37 -0500
From: Bob Zarzecki <[e-mail]>
Organization: Division of Water Quality; 401 Certification Unit
To: deborah sawyer <[e-mail]>
Deborah,
Richard & Mary Davis, Lot 4, Windsong II, Beaufort, 020172
I just received this variance request. It was received by our Unit on 2/4/2 and put in my box today (2/5/2
It involves 555 sf (Zone 2) of permenant impact from the house, 800 sf (Zone 2) of permenant impact fr(
a detached garage, 2,265 sf (Zone 2) for a temporary construction corridor around the house, and 700 sf
(Zone 1) of temporary construction corridor around the house. They are proposing to direct stormwater
outside of buffers and provide diffuse flow prior to re-entering buffers. And, to plant 5 native hardwood
trees in Zone 1 to mitigate for the Zone 1 impacts. I believe that we can approve this as is without any
additional conditions. Agree?? Please respond ASAP. Thanks,
Bob
Bob Zarzecki wrote:
Deborah,
Please respond to Johanna and copy me as soon as you find out. Thanks.
- Bob
Deborah Sawyer wrote:
Bob,
I'm not sure who this is. I think it is one of the ones Doug Hylton
wants us to look at with him. I'll check.
Deborah

Subject: [Fwd: [Fwd: Fw: Governor's Web Site - Other]]
Date: Mon, 04 Feb 2002 17:05:10 -0500
From: Bob Zarzecki <[e-mail]>
Organization: Division of Water Quality; 401 Certification Unit
To: deborah sawyer <[e-mail]>
CC: Steve Mitchell <steve.mitchell@ncmai].net>
1 of 3 2/5/02 3:24 PM
[Fwd: IFwd: IFwd: [Fwd: Fw Governor's Web Site - OtherlIII
Deborah,
I don't have any variance application for a Richard and Mary Sue Davis
or Windsong II, Lot 4. Let me no if there is anything I should be doing
on this. Please respond to Johanna. Thanks,
Bob
Subject: [Fwd: Fw: Governor's Web Site - Other]
Date: Mon, 04 Feb 2002 16:35:51 -0500
From: Johanna Reese <[e-mail]>
Organization: NC DENR
To: Deborah Sawyer <Deborah.Sawyer @ncmai1.net>,
Steve Mitchell <[e-mail]>,
Bob Zarzecki <[e-mail]>
Can one of you provide these people with the information they need? Please let me know. Thanks„
-------- Original Message --------
Subject: Fw: Governor's Web Site - Other
Date: Tue, 15 Jan 2002 15:39:32 -0500
From: "Governor Office" <[e-mail]>
To: "Johanna Reese" <[e-mail]>
----- Original Message -----
From: [e-mail]
To: [e-mail]: Friday, January 04, 2002 1:25 PMSubject: Governor's Web Site - Other
2 43 2/5/02 324 PM
IFwd: IFwd: IFwd: IFwd: Fw: Governor's Web Site - Otherl I I I
- . M
Name:
Mailing Address:
Mailing City, State
Zip:
Email:
Phone:
Subject:
Richard E Davis
83 Broadview Circle
Wading River, NY 11792
davis3@bnL&ov
631-344-4950
Other
Message: On February 26, 2001, 1 sent an initial written requests to the Washington
office of the Division of Water Quality requesting a clear statement of what
restrictions, if any, the new Riparian Buffer Rule means to the placement of
a residence on my property. (The lot is located seven mile east of Aurora,
NC - Windsong II Lot 4.) Repeated requests and additional submissions
have followed the initial request. Repeated phone calls and E-mails to the
Washington office, over a period of the last two months and as recently as
late December of 2001, inquiring on the status of my request have gone
unanswered.
At the end of December 2001, my wife and I entered into a contract with a
local builder to construct a home on our lot. It is therefore imperative that
the DWQ address my prior request as soon as possible. Any help that your
office could render, would be greatly appreciated.
Richard and Mary Sue Davis
83 Broadview Circle
Wading River Ny 11792
phones: work [phone] - home [phone]
Bob Zarzecki
NC DENR/DWQ 401 Wetlands Certification Unit
919-733-9726
3 of 3 2/5/02 3:24 PN
press landing
February 1, 2002
Bob 7arzecki
NC Division of Water Quality
401 Wetlands Certification Unit
2321 Crabtree Blvd.
1650 Mail Service Center
Raleigh, NC 27699-1650
Bob,
Enclosed are the applications for general variance we have been discussing in recent
months. I reviewed them with Deborah today and gave her copies.
Please expedite the Davis application for lot 4 in Windsong IL They have been trying to
get through the process for almost a year. The builder is ready.
A portion of your very limited time is greatly appreciated to review and approve these
applications.
Also, Deborah and I discussed Friday, Feb. 22, 2002 as a date to review the plats and lots
that may require a variance in Cypress Landing. Please confirm with her if this is
acceptable.
Sincerely,
Doug ylton
4 W
Construction Manager
800 POTOMAC DRIVE. CHOCONNITY. NC 27817 TOLL FREE 800-914-3300
[OFFICE USE ONLY: Date Received RState of
North Carolina
Department of Environment and Natural Resources
Division of Water Quality
III-po IrJbE?
"General" Mayor Variance Application Form -L.oT
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)
".".a`'x??3ei:#?3S',,v'riadre+74?t•.+iisn2!.1111111111 dim:EMii:*?S`.k'k'aSr'aca,a;:;w±e?NZaY]Eal?h'i?';rYe4.y :`iD................................ .R'iixsvgD,e::,n?ii»6ic>xi.+?iiee3>ivr:A:tiia•'z>iie+??'=.
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)
.,? .........................
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 401/Wet/ands Certification Unit, 1650 Mail
Service Center, Raleigh, NC 27699-1650, 919-733-1786 to constitute a complete
submittal. This 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, indivd ual, etc. who owns the property):
2. Print Owner/Signing
Name:
Title:
Street address:
City, State, Zip:
Telephone: i
Fax: i
legally responsible for the property and its compliance)
3. Contact person who an answer questions about the
Name: 66ripmc -7.9Y"u.J - AA_rLA.;
Telephone: (4,4
Fax: G3?29
"General" Variance Application Form
Version 1: May 2001
project:
Email: ?_A)4au rA i nos cmnysr c Cv)rne . 09d
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
JA"n Sow? ,& Zr - LOT- At
5. Project Location:
Street address:
City, State, Zip:
County:
Latitude/longitude:
6. Directions to site from nearest major intersection (Also, attach an 8 '/ x 11 copy of the portion
of the USGS toLographic map indicating the location of the site):
7. Stream to be Impacted by the proposed activity:
Strom name (for unnamed streams label as "UT' to the nearest named stream):
Stream classification [as identified within the?Schedule of Classifications 15A NCAC . 315
(Neuse) or.0316 (Tar-Pamlico)]:. /f /?J/,t? //j/4/ [7 2-5 - 3 3 - Zi,B Zg
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 Certificatio 04 Permit
On-site Wastewater rmit
Active Connection to Sanitary Sewer System
NPDES P
it
i
l
di

?Z erm
(
nc
u
ng stormwater)
Non-discharge Permit
?C Water Supply Watershed Variance
Others (specify)
Part 2: Proposed Activity
(Please include attachments if the room provided is insufficient.)
4- Z knl6 ,2' • 0-' Pr L - APMt,, 2416 7r'T L - 2D 04WSYQN4.7 X04 AC69
1.7 "General" Variance Application Form, page 2 ZO?b 7d??f Z COn?Srreu [7'DAJ ?L90,vseApf
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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
2. State reasons why this plan for the proposed activity cannot be practically accomplished,
rgduced or reconfigured to better minimi7,e or eliminate disturbance to the riparian buffers:
L.eIATES Odi l #feAOOYP8,J E 64r-'46 44 hW r-,E-W7-,r- 4W.
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.):
5
L?`l L l?inLQ.?J • ?,qr?p ?T?iI E OW to fb =6*71&? ZJwd L-
4. Please provide an explanation o he following: &JOW V"
(1) The practical difficulties or hardships that would result from the strict application of this
(3) If economic hardship is the major consideration, then include a specific explanation of the
economic hardshipsland the proportion of theghardship 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): 4'
Mailing address: 31Z S. Foogr
"General" Variance Application Form, page 3
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
City, State, Zip:
Telephone:
Fax:
Email:

Part 5: Applicant's Certification
c -VX.56 v
1, (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: AV-#J&C-
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)
hftp://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.amiy.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/wetlands/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
v=
May WQC Agenda Item # 2 5/08/019/03/01 0441
Please note that this draft version contains edits to the version sent
in the May 3rd mailing. The changes are indicated by
stri-keflueugh and underline.
" General" MAJOR VARIANCE
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 that meet the conditions stated below.
This "general" major variance from the Riparian Buffer Protection Rules in the Neuse
(15A NCAC 2B .0233) and Tar-Pamlico (15A NCAC 213 .0259) River Basins is hereby issued by
the NC Environmental Management Commission (EMC) for impacts to the protected buffers as
long as the conditions prescribed below are met.
The applicant must submit to Division of Water Quality (DWQ) three copies of the DWQ
"General" Major Variance Application Form that describes how the following conditions of this
variance will be met. If these conditions can not be met, an individual Major or Minor Variance
from the Buffer Rules may be sought from the EMC. This "General" Major Variance shall expire
on April 11, 2006 unless it is renewed before that time by the EMC.
Conditions:
1. The residential lot must be located within one of the coastal counties as
defined by the Coastal Area Management Act (CAMA).
2. Applicants must show that they have met the requirements for a variance
as specified in the buffer rules in "VARIANCES" [15A NCAC 213
.0233(9)(a)(i)-(iii) and 15A NCAC 2B .0259(9)(a)(i)-(iii)] for the
specific river basin where the impacts will occur.
3- Applicants must show that the residential lot has been platted and
recorded prior to August 1, 2000.
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4. Construction is for residential buildings and related structures such as
garages, decks, porches, attached commercial buildings, driveways and
sheds.
5. Substantial expenditures and contractual obligations must have occurred
in good faith prior to the August 1, 2000
Substantial expenditures
and obligations must have been made in reasonable reliance upon
governmental permits and/or approvals (such as 401 Water Quality
Certifications, CAMA permits, active connection to an existing sanitary
sewer system or local septic system approvals). Supportive written
documentation must be submitted to the DWQ for review.
6. The lot must be buildable, without wetland impacts except for driveways
and/or utility crossings and any impact to the buffer shall be minimized
to the maximum extent practical.
7. Where impacts to the buffer will occur, the impact should be minimized
to the greatest extent practicable as determined by DWQ staff.
May WQC Agenda Item # 2 5/08/015/0310104111 8- Any on-site wastewater treatment must not be located within 50 feet of a
surface water as specified in "ZONES OF THE RIPARIAN BUFFER"
[15A NCAC 2B .0233(4) and 15A NCAC 2B .0259(4)] of the buffer
rules. The only exceptions include any pretreatment systems meeting the
Treatment Standard 1 as found in 15A NCAC 18A . 1969 Innovative
System Approval regulated by the NC Division of Environmental Health,
On-site Wastewater Section.
9. On-site stormwater management controls must be shown on the
application and stormwater runoff must be directed away from the
adjacent surface water and/or coast wetland as determined sufficient by
DWQ staff, measures such as rain gardens, bio-retention areas,
vegetative filter strips and planting of trees or shrubs along bulkheads
and/or property lines to maximize pollutant removal may be required as
determined by DWQ staff. If the applicant is required to obtain a
Sedimentation and Erosion Control Permit or a CAMA Major Permit,
then a Stonnwater Permit may be required from the DWQ.
10. Mitigation will be required at a 1:1 ratio for impacts to Zone 1. This
mitigation can be accomplished by either (1) payment into the Riparian
Buffer Restoration Fund (administered by the DWQ Wetlands
Restoration Program), (2) planting or protection of a riparian area not
subject to the buffer rules, or (3) additional planting of a partially
buffered location on-site or in close proximity to the impacted area.
Mitigation plans must be approved in writing by the DWQ prior to
construction.
11. The applicant must receive written approval from the DWQ based on the
submittal of the "General" Major Variance Application Form
acknowledging that these conditions have been met before any impacts
occur to the riparian buffer.
12. The applicant must contact the appropriate District office of the N.C.
Division of Coastal Management or Local Permitting Officer for any
current requirements for CAMA Major, Minor or General Permits.
Signed:
Dr. Charles H. Peterson, Chair
Water Quality Committee
NC Environmental Management Commission
Effective Date:
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2526335775
01/14/2002 22:16 2526335775 WEYERHAEUSER
Environmental Health Section
PAGE 01
Permit # ___Z/'. Beaufort County Health Department New Construction
P. 0. Box 579 ? Repair
Washington, North Carolina 27889 ? Existing System
[phone]
IMPROVEMENTS PERMIT
Improvements Permit subject to revocation if the site plans or intended use anges or site alte tions t'
h i c Plan A
Owner or Contractor: Phone:
Address: '
Subdivision: Lot Number: PIN:
State Load Nu er: Directions: _Z - ?AW ollo Pro, ert Size f Ad,-J T c Structure: __ Ao
. ? . . ..

p Y
Bedrooms: No. People.
No
.
Water Supply: (Maintain minimu?t
separation from any part of septic system and repair area.)
Classification: ? Suitable fJ Provisionally Suitable ? PS with fill •
Additional Drainage: ?/?
Soil Ty
e
di
i
?
7
p
_
t
on: -
Seasonal Wetness Con
Septic Tank_ gal. Pump Tank: ?. - gal. 9i.C

_ 4u e feet
Nitrification Field: 790 s

. w
mments:
C
o !
?y?aof
t
o P
'
G

J
Additional for all systems: Landscape systcm area for surface water runoff and
. . . . . . . . .
.
grass. Do not place drive or any building over the system area or repair area. Observe ' • . ' ' '
all proper setbacks (10 NCAC 10A .1950). Do not work soil or install system in • ' • • • • . .
wet condition. '
Environmental Health Specialist: ??•???? •/? ?+ ? Date: -? ?•'?
AUTHORIZED FOR WAS'T'EWATER SYSTEM CONSTRUCTION
nstruction is valid for five years from date of issuance ? or date of permi!
t
C
W
i
F
S
Fer.
em
o
astewater
ys
or
on
(Authorizat ,
Owner or Contractor: - Phone: Alr --/Qy _
Address:
Subdivision: _ Lot Number:
State Road Number: Directions _,da l:t? "&a/ AAftz)
Property Size: f waz„p L _Type Structure: dad j
Environmental Health Specialist: a pate -'r 1,V ? 2610
White - Owner/Contract r Yellow - Health Department Pink - Building Inspection
JAN-16-2002
WED 04:25 PM COASTAL MANAGEMENT FAX NO. 1252948?0478 P.
C -4
s ?ct to the Tar/PamlicA
c ecK is Jc
02
Your pro(U?1! 1 ??
;A A;,and DRFDGE AND FILL RivcrB"Is?nBuQerRulcsducto Its
R A. L toc??tian within theTar/Pamtico ?as1n,
please contact Deborah Sawyer at (2S2) aps Q, aw trr CAA
ar 481. ?\ 1)101?913A
K Nil I
aut ' rized by the State of North Carolina
ent of Environment and Natural Resources and the Coastal Resources Commission
n"an'area' of environmental concern pursuant to 15 NCAC nY. %00
Applicant Name __q - - ? ?- Phone Number - -21 ? - C1
Address _$ C r'ti ?J t e,?
City. State hl? zip A
_7
Project Location (County, State Road, Water Body, etc,) t f
a
Type of Project Activity . ??* x ` `r Pa+ ?' _Q 6
PROJECT DESCRIPTION SKETCH
elrr (dock) Length
Grain Len$dt
h,llkhoad
. ,
pax, distance offshore
Basin, channel dimensions
?,,. _.,...,?.?..?.- t___.i..-L_...,.I...,.I..,-_#..,...I-
cubic yards "__
tloat tamp dimensions ..,.,i,--'I._ ._?.., ?.__.,..., . I...}-., f
77
x

.1
6?Ix p (S CAL E: W ON U )

- .? I - -

rv+ M I

This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
"'` by signing this permit that 1) this project is consistent with the local
101d use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
L have no objections to the proposed work.
In issiiing this permit the State of North,Carolina certifies that this project
v 'I V J applicant's signatur
r _
permit officer's signatur
Issuing date 1 expiration dal
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