20060340 Ver 1_Major Variance_20060310

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OFFICE USE ONLY: Date Received
State of North Carolina
Department of Environment and Natural Resources

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Division of Water Quality ,, ~ '~
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"General" Major Variance App icator ~Fo
From the Neuse and Tar-Pamlico Riparian Buffer Protection Rules for residential structures
on existing lots within the coastal counties as deftned by the Coastal Area Mana em_ ent Act
P4~h~f',~{'a,
(As approved by the Water Quality Committee of the Environmental Management Commission o %~~2`001)`' ' '
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 consfitute 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 MaiF
Service Center, Raleigh, NC 27699-1650, 919-733-1786 to constitute a complete
submittal. This form maybe photocopied for use as an original.
Part 1: General Information
(Please include attachments if the room provided is insufficient.)
1. Applic~nt~ name (the corporation, indivi~c ual, etc. who owns the property):
2. Print Owner/Signing
Name:
Title:
Street address: ~~
City, State, Zip:
Telephone: ~
Fax:
3. Contact person who
Name: ~
Telephone: ~
Fax: ~
Email:
(person legally r~e~s~onsible for the property
1d~~-~Z_______l"7. ~o~K T~4 rig!
~~AG~.. /~o~-~ e~ r Ul ~ ` o
~t.~~ry Y1~C ,2717
7 000
wer qu stions about the proposed project:
~~ ~~~dso~, r
its compliance)
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"General" Variance Application Form
Version 1: May 2001 ~ ~jJ "'
~L'SS ,` ~ ~S 7

4. Project Name (Subdivision, facility, or establishment name -consistent with project name on
plate ~ s~eci~ations, lett~s operation an malnten~nce a~ ~ements, etc.):
5. Project Location:
Street address: D F ~A~ ~ ~,q ~/2. Z 3 f' ~(cK. tf d
City, State, Zip: o C o wi H, f~ , , n,
County: v ~ ~
Latitude/longitude: o Nq 77 0 2 a L,~l 1, ~ r a r e
6
Directions to site from nearest major intersection (Also, attach an 8 % x 11 copy of the portion
of t~l e U,S_GS topographic map indicating the l~~atl~n „f +ho ~~+o~•
r~,~y
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 Certification/404 Permit
~~,~Ob 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.)
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_•

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:
"General" Variance Application Form, page 2
Version 1: May 2001
Stream to be impacted by the proposed activity:
Stre am,e~.Ifor unframed streams la,~I as "UT" to the nearest named stream):
~~ ! J Yfi /mot G 1 G a /` ~ V~ /Z __
Stream classification [as identified within the Sche ule of Classifications 15A NCAC 2B
.0315 (Neuse) or .0316 (Tar-Pamlico)): _ .S~- /~,f W

C- ~~ s i ~~ her vim, l`-~,
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 surtaces to provide diffuse flow,
re-p ant ~~ geta~n o e hanc ment of existing veg~tion, etc.):
~,
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
,...,,,~.,,,a
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 (indi~
Mailing address:
City, State, Zip:
Telephone:
"General" Variance Application Form, page 3
Version 1: May 2001
(3) If economic hardship is the major consideration, then include a specific explanation of the
economic hards~j'~s and the r onion of then~rd hi to the entire value of the ro'ect.
- +~~__.-~!~3 ~ L 1 ~l..i.~(~ ~P nit R 11n n, c h ~ ~

Fax:
Email:

Part 5: Applicant's Certification
I ~ ~ ~ ~ ~' ~d "~ ~~ (print or type name of person
listed i Part I, Item 2), certify that the infor ation 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: /Z,
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/ncwetlands/
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6508 Falls of the Neuse Road: Suite 120
Raleigh, North Carolina 27615
General Number: (919} 876-8441
http:/Iwww.saw. usace.a rmy.mil/wetlands/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 Goastal Management
943 Washington Square Mall
Washington, NC 27889
phone: [phone]
Morehead City District Office
Division of Goastal Management
151-B Highway 24
Morehead Gity, NC 28557
phone: [phone]
"General" Variance Application Form, page 4
Version 1: May 2001

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VICINITY MAP
(N.T.S.)
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~ SET NAIL AT BENT IRON PIPE
^ SET REHAR AT BENT IRON PIPE
O SET NEW IRON REBAR
® NO POMfT SEf
POWER POLE
® WATER METER
~ TELEEPFiONE PEDESTAL
NOTES:
1) UNABIE TO LOCATE EXISTING SEPTIC TANK.
2) NOT ALL BRICK PAVERS ARE SHOWN ON THIS PLAT.
3) ANY °bOt~tSTRIiCTION BEYOND 75' AEC UNE REQUIRES A
YWOR cAw- PERMIT.
4) ZONE 1 AND ZONE 2 RIPARIIW BUFFERS ARE REGULATED
BY THE DMSION OF WATER QUALITY.
30 0 30 60 90
GRAPHIC SCALE -FEET
06031.DWG 05919.CRD
SHEET TITLES
OLD FORT RIVER SHORE DEVELOPMENT
Lots 6 & 7
Yap Book 18. Pages 37 and 68
SURVEY F~R-
r T Reginald Morton Fountain, Jr.
91 BEACH ROAD CHOCOWINITY, NC 27817
(252) 946-3~W9 tz5a 633~3~
Vnsti~pton, t~ ties Bern, NC +
MAYO AND ASSOCIA~'ES, ~.A.
~ ~ avr 17 ~~, LAND SURVEYING ~„~~, ~ ~
DATES 2-13-2006 SCALES 1' = 30' PR~JECT~ 06031
STATES NC COUNTY= BEAUFORT TWP~ CHOCOWINI ~Y
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l5 to L7 Dolts obng normal grater lave! moriced by CJ11rU
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PRELIMINHKY PLAT
NOT FOR RECORDATION, CONVEYANCES,
SALES OR FINAL DESIGN.
THIS DRAWING IS AN ELECTRONIC FILE
FOR VIEWING ONLY.
~.~
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~°hl#; t s''J
LOT 5 D® BOOK 752. PAGE 473 ~ ~` f~'~;E<
LOT 6 DEED BOOK 1494. P,~(~~` ,
MAP BOOK 18, PAGES 37 NNfS~ ~ q~ ~ , 4"h
~..: i
l R1CIiARD ALLEN 1NtYE..A2.. CERTFY THAT THLS PLAT 1~IlS DTiAlMli
l1lAEJ2 IfY OIREC.'T10N AND SUP£RVTSiON tTi01A AN ACTWIL SURVEY (A
DE~T10N RECORDED W BOOK SEE PlA7
PAGE ): THAT TFE L7iROR OF CI~SLJRE AS CALdAATED BY
LATTTIAFS AND DEPARTURES 6 1: 10.000 : TIMT TFE BOUlIOAtiES
NOT SURVEYED ARE SHOINl1 AS ~i010=F! LIES PLATTED FTt011 IFOR-
WTION FOUtO W f3001C SEE PLAT .PAGE .AND TFLAT T}itS PLAT
1KAS PREPARED N AOCORTaNiCE iNTTH GS. 47-30. AS NEJ~ED.
MITT?ES.S ifY OFtfGTtiAL S161i11T1fl2E, ~TRATION l0.N~R ANO SEAL
THLS 20 DAY Of FETsYiARY . A.O. 2006.
SURVEYOR
RET~SiRATiON N111T~Ti L-3831
1. RLCTIARD ALJ.Qi YAYE..K2.. PROFESSIONAL LAID SURVEYOR
NO. L-3831. CFliTFY TO TFE FOLLDMrLIiG=
THAT TFE SURVEY IS Of AN E70Si1tiG PARCEL OR PARCEIS
OF LAND AND GOES NOT CREATE A !~ STREET OR CHANGE
Ali E~OSTTNG SfT2EEi.
RlCIiARD ALLEN WYE, JR_
R~TRl1TION IililE#3~ L-3831
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