20061273 Ver 1_Major Variance_20080902

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OFFICE USE ONLY: Date Receiver' Request #
State of North Carolina
Department of Environment and ii!atural Resources
Division of Water Quality
From the Neuse and Tar-Pamlico Riparian Buffer Protection Rules for residentiul structzzre,s
on existing lots within the coastal counties as defined by the Coastal Area Manages ent Act
(As approved by the Water Quality Committee of the Environmental Management Commission on 5/9/2001)
Please identify which, Riparian Arej ProtecOnn. foie applies.
euse River Basin: Nutrient Sensitive eaters Management Strateg!,
Protection and Maintenance of Riparian Areas Rule (I SA PLC .0233)
? Tar-Pamlico River Basins Nutrient Sensitive lftfamrs Management
Strategy Protection and Maintenance of iii rian Areas Rule
NCAC .0259)
t®T*F:
To constitute a complete application, all of flf e inforT^a t coca requested in this form,
must be provided. Incomplete applications twill he refunded t the applicar t. T?;e
original and two copies of the completed "General" Variance Application Perm and
any attachments must be sent to the DW 4G ar YVetlands Cer ti' ication Unit, 1650 Mail
Service Center, Raleigh, KC 27699-1650, 919-7334786 to core ruf? a complc<<
submittal. This form maybe photocppled for rise es an
on
FW1 1: General InformaJol
(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 (person legally responsible for the propert
and its com
li

Name: y
p
ance)
Title:
Street address: ' I a c
City, State, Zip: N L , -' Er. -,;1
Telephio!
Fax: -- A j _( C'
'
3. Contact person w ho can answer questions about the proposed
roject: J
Name: p
Telephoned
Fax: r C '
i' 1 2l°? 7LL lC:.r7 LC<'t? 'tl'lC'l1 r1?.l> ?_?">J
Email rw\ < 0 c'?._ Cc V-;\
"General" Variance Application Form
Version 1: May 2001
°'rojecf l4iame (S ubriivis ion, ' cility, or estalbH l tn"te. nFi : e - ±;or t ' .."nt with pr ' .:,rf iu ;l
flans, specifications, le'ars, operation a. i Ylc:i.tte trt: i .:Ciis '"ltS, etc.):
5. Project Location:
Street address: <` L o?_
t7City, State, Zip: _'< t r1?c` ??f C S l
County: V0.rY\ ?cc
Latitude/longitude: 3 5 t a i tA ,7 C-_-,
Directions to site from nearest major intersection (Also, attach an 8 %2 x 11 copy of the portion
of the USGS topographic map indicating the location of the site):
GU 55 Inc c?',- Ukk,_ _a l)t `,C\? c,c?
p + ,:: R
? ? /1'1 ?.? _'? G i1 t?f?h'l%.?1.1J ?C?.). 1.-r3?' \ • L",?'C v^ 1 jti"? ? s'L ?``? ? ?C'cL,'?1.::.: 4>C,- ? „ ICrt\ ?(.?,
?(?4 `G, r`??? j;ss?•M.2? ?l ii'?i r
7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT' to the nearest named stream):
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B
.0315 ((reuse) or.0316 (Tar-Pamlico)]: t- c???sc
8. Which of the following permits/approvals will be required or have been received already for
this project?
Required: Received: Date received: Permit Type:
CANIiA `,' ajcr
CAMA M,.inoi-
401 Certification/404 Permit
X c? J ti 51?; On-site Wastewater Permit
Active Connection to Sanitary Sewer System
NIPDCS Permit (including stormwater)
Non-discharge Permit
?rtfater Supply Watershed Variance
Others (specify)
:t 2- rcpsr,asee Act v r
(Please incitide attachments if the room providecF is insufficient.)
Description of proposed activity [Also, please attach 2. 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. `:he ar-ap-,
of buffer impact tcV ft2.:
State reasons why this plan for he proposed activity cannot be practically accomplished,
reduced or reconfigured to better minimize or eliminate diS llrl;si ic`, to ihea riparian Duffers:
"General" Variance Application Form, page 2
Version 1: May 2001

Description of any best management practices to be uses: to cot strol impacts associated vi!ith
the proposed activity (i.e., control of runoff from impervious: surfaces to provide diffuse flow,
re-planting vegetation or enhancement of existing vegetation,
' j ` C'?n\,. ?-?^Q-+?'ti1 C<`C'_+C? C'?"? 5 ?.?J?_ ic; i,•.\\C'`v, L-?; s' c1t._ c????:..: ?C?
L.)1 \\ SL c , r?C ewe e\ < a ?? 3?- `' \e: _.?
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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
?'? '? Y\E. ?C??=t"Er Zc•a??• \(?.`CS. tr:?'Z?` r?.c\ , r1 C?... `?? ?..cG? I??Ct,v??e?' ?
1? lam; C??• 1 T' ? {!L ? l Yl S?t`?\? ?1_.. \ 1? ?? J? S?
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
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L?? t O 7.1 S+ i c?? ZErr.:?;? ?? ±G. ct9?T'r? c.J C r y C rC
?+- Yom.-ticG-?r..ry?ci c? r-eu- . ??° : ?. ?. , .., ?? c?FC-._• ?- r,, :??a? - =\ ? ;- c? ? ;inc.-:?. ;,,,«.
(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.
c e i . S C
v"T CT... p\c•-.n'1 St'?l: ?C?(;; ??60, (?{??'' \GI (l?1?+ ? ?k\C lc ( )-."- y-'i.,. ,-, "(; i'h'?t?. :d'1 ,j1?`L.?LCC?i'
iR5 cFC ?, ?C?1cF ?Y.P^i? cir3 "AN ytiC? C,\?C {?t`\>\e a ?{ Stvil`Lt (>cc, ?`G atC
??t4t ?r?ILE e?s'o? eCt, U C
c> _r,
By your signature in Part 5 of this application, you certify that all structural stormvvater 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 easemei its will lbe recorded prior to the
sale of any lot.

If you wish to designate submittal authority to another individual or firi;n so that they may provide
information on your behalf, please complete this section:
Designated agent (individual or firm):
Mailing address:
City, State, Zip:
Telephone:
"General' Variance Application Form, page 3
Version 1: May 2001
Fax:
1
PS ,
L
1 e`:?tiV? 1.' t1 1print oi- 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 reco d with all rpquir permit
conditions.
Signature:
Date: 13 -F
Title: Lii?n(1? jA ?-l n-?
4
"General" Variance F;pplicaiion Form, page 4
Version 1: r,Iay 2001
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NORI ICAROLINT.A.
C,?TZElUU, V k--R-RAl\7- DEED

i!his deed, made and e: tcmd. inic f as _11__ day c July, 2006 by and bett eenn JeranOer
R, Ja rden, ttaniarreied anZ Marysinp Mozheit, aant lanced, €t inftftea refemd :0 a.%
a-jd Robert P. Ellrarmn snd wife, !Shn on E. .,:add-. marm, hereinafter rcfe.-red to
as " ;>aet4ce". Gtsr;tee's address is 253i' kw,?an WTy, aP-rrnc? rixc; G 10044.
W-ITWESS PH -49:
, "F7+`t.a sa.d C:' antorj fij and in >:.onsids r&dion tvalue.le corAdera3?iort paid to E:%ia?'ster, t 'he
£r"t v k orwi)jch - bCleby i9Ce?kno-%,!edga . does grarA, bar ?n, :s'F'+ and conye), unto the +G.??;31rtiv.
rf ? . ,.;Tnplle wV a?s t =7-t in .+cZct ,)- ?53?'i..el < T :^LFiCl ).-,n-ng :l2 C12?vlL4g 1nTtLla?YSi?TEr •K Yi C f ) Tf"dVdTlsl9.>?3.
BUNG & of Lot Numbered Tkirlr.-Eight (shy =. shown on. the 3na.P ertitied
REVISED IMAN OF S U, LOFT JvlE.4R ORM, NI AL, NORTU CAR > ,
yrha ee y Edward B. Fathom, P. E., a copy o wh-Wh i- recordled.ir 5dskp Bank= 67
.?mge SZy psswsto C?+unt-l ?4;eggg st `,'. xPid an ASO sho'AT on 'I Survey ntr
enfifFed "Survey fok- Rotbea i E ffinaan wid wife Sharon lmsin " pre-pared by
end-ell E,. iv ss):as, f°I.LS and dated r say 12, ZQQ5, which sun cy asap is a c ul
he em gatd War orar here n by >, ; r e '.
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per-cons whom'-ocver, for the toopz mated.
` isle to the ra op i described above i3 Fabject to a vile mm'=es for the -cu t year
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