20110345 Ver 1_Major Variance_20110411

2Q1 10345
OFFICE USE ONLY: Date Received Request #
State of North Carolina
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 on 5/9/2001)
Please identify which Riparian Area Protection Rule applies.
of 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 4011Wetlands 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 corlkoration, individual, etc. who owns the property):
2. Print Owner/Signing Official (person le ally responsible for the property and its
Name: S 4- e ?. c •• Derv,av? c 2 `--
Title: Z L W
Street address: 2 v4 v- M e n v
City, State, Zip: FOre-s k M o Z 6 12011
Telephone: f 5o S) 5 39 - LA g Z
Fax: L_)
w"hip
el-& I, 4L,
3. Contact person who can answer questions about file proposed project: --
Name: S ? ?- ?`'.e.Y, l?ew.. a?n c yk
Telephone: 5 og) S 39 - y e 2 S
Fax:
Email: +e Leh ew?:Qn czyk a,?n5 , q?, a1;
"General" Variance Application Form
Version 1: May 2001
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Q0.V Shores ESf-A}-eS Lol- IS
5. Project Location:
Street address: 101 If _ bay S? O r e S 2 d
City, State, Zip: M e r c k }? . rJ c 7- 8 5 5 G
County: 911,,.,\; co C;.-)V- '/ -
Latitude/iongitude: 3 5° S' nl 7C,? ° y1)' t-L/
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):
_? t° ?- t.,(-e,CQ eJ 4. Say 51cr RA
7. Stream to be impacted by the proposed activity:
Stream name Ifor unnamed streams label as "UT" to the nearest named stream):
Mobr-e Cree-t
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B
.0315 (Neuse) or.0316 (Tar-Pamlico)]: A : 4- Q W , NS W
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
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 W.: // t ff
?Y1 o 9"sed F- CSr 4. ,4 c._ I hi)rr._e cojSTrvI'r%c, ?S
_str1 4-t Z-.-•e I oL-d i iLgI_5F ; ?? or.e Z. See- o.A-Arri-4
r
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
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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 isting vege Lion, etc.):
W :\\'n4 4, i r,,, oIe L.e n he-{- ?rc? cep
4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rich .

(2) How these difficulties or hardships result from conditions that are unique to the property
involve
J e b ,, : (j'k l4 air a o ? ?? lob S S o1 vlc(
?- dec." V dr
;L ar de I
OC ion
ho %, Sr `Ov. " 0. r'e t J J f ?.. - to
(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 v lue 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:
City, State, Zip:
Telephone:
Y
"General" Variance Application Form, page 3
Version 1: May 2001
Fax:
Email:
Part 5: Applicant's Certification
??1 I ? n ? Z ,? (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)
hftp://h2o.enr.state.nc.us/newetlands/
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
General Number: [phone]
hftp://www.saw.usace.army-miI/wetlands/regtour.htm
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
Post Office Box 1000
Washington, North Carolina 27889-1000
General Number: [phone]
hftp://www.saw.usace.army.milJwetlandsJregtour.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" Varianoe Application form, page 4
Version 1: May 2001

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WETLANDS
LINE BEARING LENGTH
Ll SO1'26'13'W 27.21
L2 S50'03'49'W 38.58
L3 S49.18'58'W 21.31
L4 S68'50'45'W 21.32
L5 S47'15'10'W 32.33
L6 N87.16'26'W 14.99
L7 S62'20'41'W 15.32
L8 S22.41'14'E 17.44
L9 S5341'39'E
: 17.55
LIS 41 39'E
S53 16.13
L11 N73 .24'45'E 23.62
L12 N70.57'19'E 3523
L13 S74'41'28'E 24.73
L14 S53.43'37E 14.97
L15 S17.0959'V 34.89
L16 S05'42'25'E 6.42
L17 S40'06'14'W 25.05
LIS S05.25'50'W 25.37
L19 N66.15'30'E 5869
L20 N65'55'09'E 10.52
L21 S80.07'37'E 17.82
SETBACKS
DWQ - 50' FROM WETLANDS
SIDE YARD - 10'
FRONT - AS NOTED
REAR - 40'
16
S50'02'59'E
12.65'5'1

t C o?o?e S ?Aoj, t -1- Vo`r%ckv-wCR. (re_c?
NPS SD
l Sse• S `Y sJ? ? ?: "
P y0.
TIP
/ NPS %P C?
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NP
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A n ?
Amu °
2 II 7'-I 42' 1.8 V? 1 b li
40' M8L ? -
17
51,933.203 sq. k.
1.192 acres
ZONE x FT?
- - I SEPTIC AREA
r?
1
S
I \ y
?x L
Wooed
use
18
65,362077 sq. k.
1.501 acres
VICINITY SKETCH
NOT TO SCALE
LEGEND
EIP EXISTING IRON PIPE
EIR EXISTING IRON REBAR
SIP SET IRON PIPE
* POWER POLE
NPS NO POINT SET
;? FIRE HYDRANT
AREA OF PROPOSED HOUSE
LOCATED VATHIN ZONE 2
658.857 sq. k.
0.015 acres
19 Zane i Impact 389 SF
Zone 2 Impact 1,491 SF
BAY SHORES ROAD
60' R/W - PRIVATE
THIS PROPERTY IS LOCATED WITHIN
A SPECIAL FLOOD HAZARD AREA
(ZONE A5, BFE=8.0') PER FIRM
MAP 370181-01458, DATED
SEPTEMBER 4, 1985.
I, Kendall E. Gaskins, hereby certify
that this map was drawn under my
direction and supervision from an actual
survey made under my direction and
supervision, that the error of closure
as calculated by latitudes and departures
is 1 : 10,000.
Witness my hand and seal this
26th day of JANUARY, 2004.
Kendall E. Gaskins, PLS L-3824
REFERENCE
PLAT CABINET A SLIDE 9-6
SURVEY FOR
HAMILTON D. MOORE, JR
LOTS 17 & 18
BAY SHORES ESTATES
NUMBER 2 TOWNSHIP
PAMLICO COUNTY
NORTH CAROLINA
SURVEYED: JANUARY 17, 2004
SCALE 1" = 100'
Kendall E. Gaskins, PLS
PROFESSIONAL LAND SURVEYING
8162 Main Street
P.O. Box 354
Vanceboro, NC 28586
Van ceboro: 252-244-0599
Greenville: 252-353-1560
1
? f
Y `-'.
75' MBL I

WETLANDS
LINE BEARING LENGTH
L1 SO 26'13'W 27.21
L2 S50.03'49'W 38.58
L3 S49118'58'W 21.31
L4 S68.50'45'W 21.32
L5 S47.15'10'W 32.33
L6 N87.16'26'W 14.99
L7 S62.20'41'W 15.32
L8 S22.41'14'E 17.44
L9 S53.41'39'E 17.55
L10 S53.41'39'E 16.13
Lit N73 24'45'E 23.62
L12 N70.57'19'E 35.23
L13 S74.41'28'E 24.73
L14 S53.43'37'E 14.97
L15 S17.09'39'W 34.89
L16 SOS•42'25'E 6.42
L17 S40'06'14'V 25.05
L18 S05.25'50'W 25.37
L19 N66•15'30'E 58,69
L20 N65.55'09'E 10.52
L21 S80.07'37'E 17.82
?n
SETBACKS
DWQ - 50' FROM WETLANDS
SIDE YARD - 10'
FRONT - AS NOTED
REAR - 40'
16
S50V2'5?-E
12.655'1
W
2
P/
EIP
k*
NPS S
o2y'o . 9?.
/ ss9• S ?1' si, ?r
/ NPS?
/ A
114 AL
,114
gyy / / / ? NP
114
? G A4 AL
`A E
-f' 114
f
1
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zomw 2 /
75' Met.
J
SEM AM 18
65,362077 eq. ft.
1.501 aces
Q
BL
n 40?
17
51,933.203 sq. ft.
7.192 aces
EIP "41711.
BAY SHORES ROAD
60' R/W - PRIVATE
THIS PROPERTY IS LOCATED WITHIN
A SPECIAL FLOOD HAZARD AREA
(ZONE A5, BFE-8.0') PER FIRM
MAP 370181-0145B, DATED
SEPTEMBER 4, 1985.
I, Kendall E. Gaskins, hereby certify
that this map was drawn under my
direction and supervision from an actual
survey made under my direction and
supervision, that the error of closure
as calculated by latitudes and departures
is 1 : 10,000.
Witness my hand and seal this
26th day of JANUARY, 2004.
Kendall E. Gaskins, PLS L-3824
VICINITY SKETCH
NOT TO SCALE
LEGEND
EIP EXISTING IRON PIPE
EIR EXISTING IRON REBAR
SIP SET IRON PIPE
* POWER POLE
NPS NO POINT SET
U FIRE HYDRANT
AREA OF PROPOSED HOUSE
EIR LOCATED MTHIN ZONE 2
658.657 sq. ft.
0.015 acres
to 19
3
O
to
Ln
V)
P N33'03'43 'W aP
REFERENCE
PLAT CABINET A SLIDE 9-6
SURVEY FOR
HAMILTON D. MOORE, JR
LOTS 17 & 18
BAY SHORES ESTATES
NUMBER 2 TOWNSHIP
PAMLICO COUNTY
NORTH CAROLINA
SURVEYED: JANUARY 17, 2004
SCALE 1" = 100'
Kendall E. Gaskins, PLS
PROFESSIONAL LAND SURVEYING
8162 Main Street
P.O. Box 354
Vanceboro, NC 28586
Van ceboro: 252-244-0599
Greenville: 252-353-1560