20071426 Ver 1_Minor Variance_20070820

OFFICE USE ONLY: Date Received Request #
State of North Carolina
pepartrnent of Environment and Natural Resources
Division of Water Quality'
Variance .Request Form • for Minor Variances
.Protection and Maintenance of Riparian Areas Rules 0 7 - 1 4 2 6
NOTE: This ibrm maybe photocopied for use as an original. ,
Please identify which Riparian Area (Buffer) Protection Rule applies.
o Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC 02B
.0233) •
~, ~~ _ ..
Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC 028.0259)
a Catawba River Basin: Protection and Maintenance of Existing Riparian ~ ~~
Buffers (15A NCAC 02B .0243) ~ $~; ~..,~ ~~-~ :~ r ~ ~`~~ ~_
,t'< ~.
Part 1: General Information
(Please include attachments if the room provided is insufficient.)
;:
1. Appiic~nt's name'(the corpora~on `i~ndividu ~, etc iw~wn~he p oper~'
2. Print Owner/Signing Official (person Iegal~respT~!
Name: '`L ; < <k a~ 21D
Title: _ C -"~~~~~~ SOrFEVb ~l~
Street address: ~rs3s~ SP~-~-,2 N ~
AIJC ~ ~ 200
~IE~'Lt4Pii7i'•,:~.;4p .~T^'~,~?qr9 i'cl? SR,4Py[;~S
w~ F.e
the property and its compliance)
City, State, Zip: (N i c_./vti i -'~ ~ - - _
Telephone: (~ l~) ~9 0 3 ~f o ~t ~ t o ~ c ~ - ~r ~ 01 c.21~4
Fax: L ~co) o - 3~ o
3. Contact person who ca~~ s~w~er~q~u~ tion~s. atio~t~h'e~ Posed Project:
Name: ~~ o I ; A ~.1 ~ ,
Telephone: L9 io) c., ~? -
Fax:. ~ } ~ ~, o o dZ l c •8 ~ s c~.~Td-F
Email:
4. Project Name (Subdivision, fadGty, or establishment name - consistent with project name on
plans, specitica~ons, letters, operai3on and maintenance agreements etc.):
.... ,• ,~ - n~.l rt t ~ t-t-of~>1~ b2tJ~' ~k KI/ ~~~/Kr .
Version 2: November 2002

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3. 'Descripflon 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-pianl3ng vegetation or enhancement of existlng vegeteflon, etc ): ~ ~ • , ~~~
,"' '7lft sui3~~cf 'i4•~~T ~fiy5`~•t~r/. f3o/UJu~t~~•~tSy ~S~Y•~u~Q g~i'
~n rd Pr~~.rnT
s'a SGrx` _: _
1 4 ;Please provide an explanation:of the following:. ,
~(1) The practical difficulties or harclshps that would result from the stricf applical3on of this
S .i ,Rule :~,-.. ~ ~~ . ; :. . .., ,
~yrr~,vt~' ~~' •~1fG IQc~oj L/N~ ~sa/~~m :~000`ttit'!cr ~- l~c~CK ST~~ S ~~iC~iT
LV6Gi ~' la ~` /!~ GC D ~ ~
(ASPS . "" ~L' Z M f
,~,~, O~tc•N d~ Scjzernv r- •.'s ~e~fTC'~is~
l
~2 Z lvwo~/L~ ~.TNGs ~7F .~; ...) . ;zuyv , M- L,': r+o+~~ f i~(~,taT~pi4S'S
,c~,~~a L • _:. ~ (~ How'these`difficufties or hardships result from, condil3ons that are un~ `e t~ a propeity .- ; ,
involved •.;. was c~-K~~ ~ ~ CM~rPt~2 r Office ~~` F~itcrs~s~.~
?1fts oti/ciwrw irr~P•4•of~D .~ , [,/N~C~u~ ra
._,. _ _ _ . _ _ .. , . , iiv~ . 2U/T~./.w flre~ ?Ord- a ~ n
a G~i i
~S /V N ~S ~
/S . Necs2t T7f~ ~y~ ~ o f S~TI N~.n, r~F~ E~Sr. /~
,s'ouT41• Mti4 ,,.Na+'t~f1~t ~•6o rV1A11 7'Ntf hurt ST+~rrtl~.Ad~ S121+' d'F`7
{3) (f econemio hardship is+the major consideration; then include
economic hardships and the proportion of the hardship tither l;
s,y,, 4.+-e~~I ~r
o dr~'1 ~r ~ ~'S'es7"'/5~s to rr~
±~s far ~r~r-n.w- se-~-ct~r-) ,~ u~
a specNic explanation of the : ~ ~
ire "value o the project. oPri w,,~ ~,
.4W.__...._ Z' ~µ~"flYL ~~'S
~~ ,~- u. ~ RcsSu.c.r w ,w.y0u~ lrH~1~ cJ-a ~v-ae ~U ,-
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Part 3:. Deed Restrictions ,: ~ .
A~'
By your signature in Part 5 of this application, you certify that all structural stormwrater best
.. management practices required by this varianoe shelf be loc~teda~'tecorded stormwater
~'":~ easements, tllat the easements will `run ;with the land, that the easements cannot be: changdd or
deleted without concurrence from the State,•arid that the easements will'be recorded prior to the
sale of any lot.

5. Project Location:
Street address:
City, State, Zip:
County:
Latitude/longitude:
ao~E 6~ G u-o2N {1t2.~,v~
i~ ~.~..
6. Directions to site from nearest major intersection (Also, attach an 8 % x 11 copy of the USGS
topographic map indicating the location of the site):
ts`A-sT Ta 5 ~'b~o ~
h~C~ I~tJU,4-r ~r G a.~
T
- - .~rcrrwr~c S- - ~-
Ads OT D ~ "rtc R~ Ott 6 cE t' orJ AESoTo 1 -n..~b -v 2t 61~ Y' art Gt 6 1.
7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearr3st named stream):
1 AJ/e.^ Ilr~....t
oN S2.tr A6E RcP
~ OtiJ ~~6C,~
~_ ~ /
~~-oy ~ic~t~
Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B
.0315 (Meuse) or .0316(Tar-Pamlico)J: ~o3t (,
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 CertificatioN404 Permit
On-site Wastewater Permit
NPDES Permit tincluding stormwater)
Non-discharge Permit
Water Suppy Watershed Variance
o Others (spedfy) Mcitio2 ZayVe- L V/kRR
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) t accurately delineate the boundaries of the land to be utilized in carrying
out the activity, ttie~ocation and dimension of any disturbance in the riparian buffers
assoaated with the aL~vty, and the extent of riparian buffers on the land. Include the area
of buffer impact in ftz.]:
?-~mv~ i_ h H~-~c rwln.,rc~ -f'vfa.2 .brY~v,~ >=t.~- ~C'~. z.
Q~vw~.ar~ r-t~tc .urt,~vrr of za>Ac. ~ ,- z, -- - -
2. Stater so s Ian for the proposed activity cannot bepractically accomplished,
uce or reconfi u to better minimize or eliminate disturbance to the riparian buffers:
~ z e~ rc,2 sFt~tEr~cvc.c~ - R,~vu~es via car y orr.- 30 ~GrT ~rn/QC~'Ti~
A
Posinuw~ .n .~~ sassTh- o~ •rrt~ . CoT- ~",rv $ ---dui . ~~ ., ,
y ~..~. ~a~/T5
r~ Ufa/.~j .E~s~me~/s~-~s.~s O~~.T~ ,qri. sntucn~.~iic
y •'~'`odf~ctf-norms
.vanco l~~ih~' No ~6nvyc ~Cmc~~T-s ~ 7~ Zoi/et.r-~'^~r ~6*~. Rce~
ho uc D Crta-r?-rLr /fin u.v4.c ~ ~i.1.1-s~ c•~i-t ~'3cr/Goo~lti/ , .
Variance Request Form, page 2 -
Version 2: November 2000
Lr~v~ ~y~
t,.o7 t 3~ ~ C

I• ~~G~'~ `~ ~ i ~~ (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 pe
conditions.
Signature: ~~2r~~--
Date: 7 0
Titre:

.~
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' •,
Variance Request Form, pale 4
Version 2: November 2000