20200612 Ver 1_Minor Variance_20200506

Water Resources
oNm
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2)
Protection and Maintenance of Riparian Areas Rules - Variance Application
E-FORM VAR 10-2018
Submittal Application dated 5/6/2020
A. General Project Information
For instructions on how to fill out this form, see the Major and Minor Variance Help Document posted on DWR's 401 & Buffer
Permitting page.
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions
are answered.
1a. Is this a transportation r Yes
project?* r No
B. Please Identify Which Riparian Area Protection Rule Applies:
1. Type of Variance: f Major Variance
r Minor Variance
Link to the 401 and Buffer Permitting Statues and Rules: https://deq.nc.gov/about/divisions/water-resources/water-resources-rules/401-
certification-express-review -statutes-rules-guides
f Neuse River Basin (15A NCAC 02B.0233)
r Catawba River Basin (15A NCAC 02B.0243)
f Randleman Lake Watershed (15A NCAC 026.0250)
f Tar -Pamlico River Basin (15A NCAC 0213.0259)
f Jordan Lake Watershed (15A NCAC 02B.0267)
C. Applicant/Owner Information
Who is submitting the application:* W Owner
F
Applicant other than
Owner
r Agent
Check all that apply.
Is there an agent working on the project but not submitting it?
r Yes
r No
Primary Contact: Kellie Paxton
This is for who should be notified if a payment is required.
Primary Contact Email: [e-mail]
1. Property Owner:

1 a. Name: * Kellie Paxton and David Thome
1b. Title:
1c. Mailing Address:*
Street Address
120 Audrey Lane
Address Line 2
City
Mooresville
Fbstal / Zip Code
28117
1d. Telephone:*
954-817-1616
le. Email Address:*
[e-mail]
D. Project Information
1. Project Name:* Paxton-Thome Retaining Wall
(Subdivision, facility, or establishment name)
2. County(ies)*
Iredell
3. Property Location:
3a. Property Address:*
Street Address
118 Bay Point Lane
Address Line 2
City
State / Province / Fbgion
Mooresville
NC
Fbstal / Zip Code
Country
28117
USA
State / Province / Region
NC
Country
USA
3b. Latitude: 3c. Longitude:
35.547110-80.930252
3d. Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location
of the site.
aick the upload button or drag and drop files here to attach document
2020-05-06_150211. pdf 375.05KB
FDF Only
* USGS Topo look up
3e. Attach an 8 % x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the project site.
aick the upload button or drag and drop files here to attach document
2020-05-06_152236.pdf 461.35KB
FDF only
Link to Soil Surveys for North Carolina Counties. (Please see instructions in the Help Document to determine the most recent
published version.)
n

4. Property Information:
h
4a. Parcel Identification Number (PIN)
4638-64-7337,64-7192
4b. Date Property Purchased:
05/06/2016
nrrr'dd/yyyy
Type Book# Page#
of
of Book
Deed 2418 2371
Map 124 I134
4d. Attach a copy of the recorded map that indicates when the lot was last platted.
nick the upload button or drag and drop files here to attach docurrent
2020-05-06_153005. pdf 583.08KB
PDF Only
4e. Is your project in one of the 20 Coastal Counties covered under the Coastal Area Management Act (CAMA)?*
C Yes (-- No
4f. Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
C Yes r: No r- Unknown
5. Stream associated with riparian buffer to be impacted by the proposed activity:
Name Water Quality Classification
Catawba river basin [None
7. List any permits/approvals that have been requested or obtained for this project in the past.
Date Applied Date Received Permit Type
8/17/2019 1 F9/18/2019 IF
1 shoreline stabilization
E. Proposed Activity h
1. Provide a detailed description of the proposed activity including its purpose:*
Encroach into the 50ft buffer with a retaining wall for house support of 10' tall retaining wall around house
2. Attach a site plan as applicable to the project:
aick the upload button or drag and drop files here to attach docurrent
2020-05-06_153005_1. pdf 342.89KB
PDF only

** Below is a link with instructions on what you will need to show on your site plan.
http://edocs.deq.nc.gov/WaterResources/O/doc/402224/Pagel.aspx
F. Proposed Impacts and Mitigation Information
1. Individually list the square footage of each proposed impact to the protected riparian buffers:
1 a. Site# - Reason 1 b. Buffer 1 c. Stream Name 1 d. Mitigation If. Zone 1 1 g. Zone 2
Impact* Required?
50
Permanent
Catawba river
No
50.00
0.00
Ivbp label (e.g. Fbad Crossing 1)
(P)
basin
Square Feet
Square Feet
0 Temporary 0.00 0.00
lvbp label (e.g. Finad Crossing 1) (T) Square Feet Square Feet
1 h. Total Zone 1 Impacts: 50.00
1 i. Total Zone 2 Impacts: 0.00
1j. Total Buffer Impacts: 50.00
1k. Comments:
Calculated Mitigation
11. Zone 1 -Catawba Only
Total Impact Multiplier Required Mitigation
0.00
2
0.00
Square Feet
Square Feet
1m. Zone 2
Total Impact Multiplier Required Mitigation
0.00
1.50
0.00
Square Feet
Square Feet
2. Mitigation Information
2a. What is the mitigation plan proposed for this project?*
r Payment to private mitigation bank
r Payment to Division of Mitigation (DMS)
rJ Permittee responsible mitigation
2b. Provide a description of your mitigation plan.
Encroach into the 50' buffer with a 10' tall retaining wall
2c. Attach 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.*
n
n

aick the upload button or drag and drop files here to attach document
2020-05-06_153005_1. pdf 342.89KB
FDF Only
2f. Comments:
G. Stormwater
1. Provide a description of how diffuse flow will be maintained through the protected riparian buffers (e.g., re-
planting vegetation or enhancement of existing vegetation, gutter splash pads, level spreader to control of
runoff from impervious surfaces, etc.).*
None
2. Show the location of diffuse flow measure(s) on your site plan.
aick the upload button or drag and drop files here to attach document
2020-05-06_153005_1. pdf 342.89KB
FDF only
3. Attach a completed Level Spreader Supplement Form or BMP Supplement Form with all required items for
each proposed measure.
aick the upload button or drag and drop files here to attach document
2020-05-06_153005_1. pdf 342.89KB
FDF Only
4. Attach an Operation and Maintenance (O&M) Form for each proposed level spreader or BMP.
aick the upload button or drag and drop files here to attach document
2020-05-06_153005_1. pdf 342.89KB
FDF Only
5. For Major, Catawba, and Goose Creek variance requests
5a. Provide a description of all best management practices (BMPs) that will be used to minimize disturbance and
control the discharge of nutrients and sediments from stormwater.*
5b. Show the location of BM Ps on your site plan.
aick the upload button or drag and drop files here to attach documnt
FUF only
5c. Attach a Supplement Form for each structural BMP proposed.
Click the upload button or drag and drop files here to attach document
FDF only
5d. Attach an Operation and Maintenance (O&M) Form for each structural BMP proposed.
aickthe upload button or drag and drop files here to attach documnt
FDF only
H. Demonstration of Need for a Variance
The variance provision of the riparian buffer rules allows the Division or the Environrrental Ivhnagerrent Conrrission to grant a variance when there are practical difficulties or
unnecessary hardships that prevent compliance with the strict letter of riparian buffer protection.
1. Explain how complying with the provisions of the applicable rule would prevent you from securing a
reasonable return from or make reasonable use of your property. Merely proving that the variance would permit
a greater profit from the property shall not be considered adequate justification for a variance. The Division will
consider whether the variance is the minimum possible deviation from the terms of the applicable Buffer Rule
that shall make reasonable use of the property possible.*

Encroach into the 50' buffer with retaining wall 10 feet tall around the house.
2. Explain how the hardship results from application of the Buffer Rule to the property rather from other factors
such as deed restrictions or other hardships (e.g. zoning setbacks, floodplains, etc).*
3. Explain whether the hardship was caused by the applicant knowingly or unknowingly violating the applicable
Buffer Rule.*
4. Explain how the hardship results from physical nature of the property, such as its size, shape, or topography,
which is different form that of neighboring property.
5. Explain how the hardship is rare or unique to the applicant's property, rather than the result of conditions that
are widespread.*
None
I. Sign and Submit
Deed Restrictions
By your signature of this application, you certify that all structural stormwater BMPs required by this variance shall be located in recorded
drainage 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.
Applicant's Certification
I, 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 will be recorded with all required permit conditions.
* FJ By checking the box and signing the box below I certify that:
By digitally signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform
Electronic Transactions Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform
Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit this form.
Print Name:* Tamara Hager
Signature *
Submission Date: Adonaticallyfilledin

Initial Review
Is the project accepted rJ Yes r- No
for review?*
Is the project located r Yes r No r Unknown
within a NC DCM Area
of Environmental
Concern (AEC)?*
Is this a public -funded r Yes r No
transportation
project?*
ID#* 20200612
Version*
Reviewing Office* Mooresville Regional Office - [phone]
Select Reviewer* Alan Johnson:eads\adjohnson1
Has payment been r No Payment Needed
received?* r Fee Received
r Need Fee- send electronic notification

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