20090061 Ver 1_Minor Variance_20090114

`o?oF wnrEgo G
co
Olqiii? K
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Variance Request Form
(For Minor and Major Variances)
Protection and Maintenance of Riparian Areas Rules
NOTE: This form may be photocopied for use as an original.
Check the appropriate box below:
o Major Variance 0 9- 0 0 6 1
X Minor Variance
Q[93@[UW[A§
JAN 14 2009
DENR.
(AAUTY
WETLANDS AND S (yi*Mk{F.R BRANCH
Please identify which Riparian Area Protection Rule applies (Note-this must be one of
North Carolina's four buffered river basins. The River Bain map is available at
http://h2o.enr.state.nc.us/admin/map .)
)(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 02B.0259)
Part 1: General Information
(Please include attachments if the room provided is insufficient.)
I . Applicant's name (the corporation, individual, etc. who owns the property):
2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: G n 1Vs o!A&-S Lj_<, ?ob?llrl !? ??
Title: '•`??W%
Street address: ? ?t Yt -5kV,1A*
City, State, Zip: L/nra32k I-IL,
Telephone: Vt -771 WO 1-0
Fax: ' C11-k '119 &V%)
3. Contact person who can answer questions about the proposed project:
Name:
Telephone: NA 13R IL
Fax: ? U `
Email: ws?t b tiroiaA'iAk 'ta4l N ClJ

Version 3: January 2008
r
4. Project Name (Subdivision, facility, or establishment name consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
5. Project Location:'
Street address:
City, State, dip:
County: -
Latitude/longitude: Barr t3z - M 1, fig ?- 65-t W La? 7745 -2,bi3z.64-W
6: Directions to site from nearest major intersection (Attach an 8 Yx I I copy of the USGS
topographic map indicating the location of the site).
7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
_i E-FGIto_ -CFF?- .-----
8. Which of the following permits/approvals will be required or have been received already for this
project?
equired: Received: Date received: Permit Type:
--- CAMA Major
CAMA Minor
401 Certification/404 Permit
---- On-site Wastewater Permit
7 _..-._.. NPDES Permit (including stormwater)
Non-discharge Permit
- Water Supply Watershed' Variance
Erosion/Sedimentation Control
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 in Adobe (pd#) format) 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.:
-0as It.
Variance Request Form, page 2
Version 3 January 2008
2. Fill in the table below to identify the square footage of impact to Zones I & 2 in the protected
riparian buffers and the required' mitigation (Fill in the impacts portion of the table, even if
mitigation is not required);
Buffer Impact
Zone of Impact in Number Purpose for
Multiplier Required
Impact Square Feet (Indicate on the Impact Mitigation
Plan Sheet
Zone 1 3
Zone 2
64
* Ig 1.5
Total or !1,6 ° woz::p
I? gcst-ec? 2
*Zone I extends out 30 feet perpendicular from the most landward limit of the top of bank or the rooted herbaceous
vegetation; Zone 2 extends an additional 20 feet from the edge of Zone l:
3. 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:
4. 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 existing vegetation, etc.):
5. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this Rule.
C W -' af-- til? t,e11 U N? _14` is l (- L?G a f' .w.A?
7174 k4cu6i? f LI?I-T1 / IJF6 t 1ti t3"ts!-.H/?tt /S ? 2 rte ..
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
(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..
Variance Request Form, page 3
Version 3 January 2008
Part 3: Stormwater
1. Provide a description of all best management practices (BMPs) that will be used to control
nutrients and sedimentation impacts associated with the proposed activity. Please ensure to
include all applicable operation & maintenance agreements and worksheets for the proposed
BMPs. Also, include the BMPs on your plan sheets.
2. Attach a description of how diffuse flow will be maintained through the protected riparian
buffers. Please ensure to include all applicable operation & maintenance agreements and
worksheets for the proposed diffuse flow measure(s). Also, include the diffuse flow measure(s)
on your plan sheets.
3. What will be the annual nitrogen load contributed by this site after development in pounds per
acre per year without structural BMPs (stormwater pond, wetland, infiltration basin, etc)? Attach
a detailed plan for all proposed structural stormwater BMPs.
Drainage Size of Post-development BMP nitrogen Final Final
basin drainage nitrogen loading removal nitrogen' nitrogen
basin rate without BMPI efficiency' loading rate loading
(ac) (Ibslaclyr) (!) (lbslac/yr) from
drainage
basin Ibs
I
2
3
4
S
Totals - --- ------ ------
d
nerucn cuwumituns unu references.
s Attach calculations and references,
6 Include Phosphorous in the Tar-Pamlico Basin
Part 4: Water Quality Protection, continued
4. Attach all applicable supplement form(s) and Inspection and Maintenance (I&M) Form(s) to this
completed application. The applicable supplemental form(s) and I&M form(s) for the proposed
BMPs noted in your application can be downloaded from the following website:
htt©?/h2o.enr.state.nc.us/su/bmv forms htm
Variance Request Form, page 4
Version 3 January 2008
Part 5: Proposed Impacts and Mitigation
Provide a description of how mitigation will be achieved at your site pursuant to I SA NCAC
2B.0242 for the Neuse Basin and 15A NCAC 2B.060 for the Tar-Pamlico Basin.
If buffer restoration is the method you are requesting, be sure to include a detailed planting plant
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. A guide to
buffer restoration can be downloaded at the following website:
httt)://ivww.nceei).net/news/rel2orts/buffers-12df
If payment into a buffer restoration, fund is how you plan to achieve your mitigation requirement,
then include an acceptance letter from the mitigation bank you propose to use stating they have
the mitigation credits available for the mitigation requested.
Part 6: Deed Restrictions
By your signature in Part 5 of this application, you certify that all structural stormwater BMPs
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 fronri the
State, and that the easements will be recorded prior to the sale of any lot.
Part 7: Applicant's Certification
1, - C_' hit /+'? (print or type name of person listed in
Part I, Item 2), certify that the infoQtion 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 th?s form will be recorded with all required permit conditions.
Signature:
Date: j Z -/
Title.
Part S: Plan Sheets
Be sure to include a copy of all of your completed application form, plan sheets and maps in Adobe
(pdf) format on a CD or floppy disk.
Part 9: Checklist
A complete appplication submittal consists of the following components. Incomplete submittals will
be returned to the applicant. The complete variance request submittal must be received 90 days prior
to the EMC meeting at which you wish the request to be heard. Initial below to indicate that the
necessary information has been provided.
Applicant's Item
Initials
,? • Original and two copies of the Variance Request Form and the attachments
listed below.
'? ' • A vicinity map of the project (see Part 1, Item 5)
Variance Request Form, page S
Version 3 January 2008
• Narrative demonstration of the need for a variance (see Part 2)
• A detailed narrative description ofstormwater treatment/management (see Part
4)
• Calculations supporting nitrogen (phosphorus in the Tar-Pamlico Basin)
loading estimates (see Part 4)
• Calculations and references supporting nitrogen (phosphorus in the Tar-
_,.__._._ Pamlico Basin) removal from proposed BMPs (see Part 4)
Location and details for all proposed structural stormwater BMPs (see Part 4)
- -- - • Three copies of the applicable Supplement Form(s) and I&M Form(s) for each
BMP and/or narrative for each innovative BMP (see Part 4)
• Three copies of plans and specifications, including:
0 Development/Project name
0 Engineer and firm
- 0 Legend' and north arrow
0 Scale (I"= 50' is preferred)
0 Revision number & date
0 Mean high water line (if applicable)
0 Dimensioned property/project boundary
.. _ 0 Location map with named streets or NC State Road numbers
0 Original contours, proposed contours, spot elevations, finished floor
elevations
0 Details of roads, parking, cul-de-sacs, sidewalks, and curb and gutter
..... _...._ 0 Footprint of any proposed buildings or other structures
...... ... 0 Wetlands delineated, or a note on plans that none exist
0 Existing drainage (including off-site), drainage easements, pipe sizes,
runoff calculations
0 Drainage basins delineated
----------- 0 Perennial and intermittent streams, ponds, lakes, rivers and estuaries
0 Location of forest vegetation along the streams, ponds, lakes, rivers and
estuaries
Variance Request Form, page b
Version 3 January 2008
,o
? 00//E EIP ? SCE
ol

10 ? N `sue o ?a?? - -
4,1 ,3
MH 11,68sf
LOT
0.34
138
AC,

o?
og
S
S 21p 0 \\
0
r? ?n No ? 2? 0
1:
?\\\?
NOTES
/ THIS PLAT IS NOT" FOR ?f.
RECORDATION
LOT SERVED BY TOWN
WATER AND SEWER
J ' SITE
THIS PLAT DOES NOT NECESSARILY 4
MEET GS 47-30. AS AMENDED, NOR
WAS IT INTENDED' TO,
t ?
VICINITY MAP
/ SCALE
J REFEREN.CE:
r
GREENBRIER ESTATES
CJ B?M 2007, PG, 1735
LOT 138
?. PLAT NORTH
BOM 2007, PG. 1735
F
L??DWAY ?
/ 25' FROM ? BRANCH N
LOT 136
CENTER BRANCH W
FIELD LOCATED
%-0 SETBACK INFO; 'FRONT = 35'
SIDE = 10' RIAN
SO' RIPA
REAR = 25' OBUF,F-ER ' \
/ O O (FROM FIELD \ \
LOCATED BANK) \
LOT 135 I It 1 I z? LOT 137
11 EIP
\ I I FIELD LOCATED
N02°18'18"E I I ?°? 112 g1 100 YR. FLOOD
19.99 \ \ I O FLOOD ELEV. = 310,00
Q
1 ° ?ja`f ? 00
S7 °
LOT 149 \ ?. EIP 7 45,00"E EIP \A A
64
l
/ EIP
MHO SC
p o 0' n
Elp
/ ' s z• ?
LOT 138
?zp
0.3 AC.
20' UTILITY ESMT. -- - i // 9 LOT 138 \??
LOT 148
AREA BY COORDINATE METHb"d' EI \ SLEIPN_D EX, IRON PIPE
'\
50 25 0 50 100 SC = SEWER CLEAN--OUT
MH = MANHOLE
JA N Y 4 Z00!
I ` WET(gHpDES AND ST?DRM'YA78
of ???