20090348 Ver 1_Minor Variance_20090331

3; 26/2009 9:43 AM, PROM: Fax TO: ;919) 718-67.5` FAGS: 601 .;F CG1.
Variance application form and buffer bank application - Yahoo! Mail Page I of I
1&14001', MAIL
09-0348
Variance application form and buffer bank application
Wednesday, March 25, 2009 3:32 PM
From: "Amy Chapman" [e-mail]>
To: kuenyeung@yahoo,com
Variance Request Form_Neuse_TP,doc (1140), ILFform,pdf (208KB)
Attached is the variance form.
The ILF form goes to Kelly Williams with the Ecosystem Enhancement Program. Her
number is: 716-1921 and her email is kelly.williamsncmail.net.
Please let me know if you have questions.
-Amy
Amy Chapman
NC Division of Water Quality
401NMetlands Unit
2321 Crabtree Blvd, Suite 250
Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
E-mail: [e-mail]
0 LS(O"Ll L99 M[g
KO 3 1 2009
DENR - WATER QAALI7y
MVETLANpS AND STORMWATER BRANCH
E-mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
http://us.mel 104.mail.yahoo.coin/mcishowMessage?pSize=25&sMid-9&fid-Inbo1&sort_.. 1`26/2009
?/2612_5 9 P AM MCM: Fam TC: i'-a'-q} 71c_2''5? PAGE: OC1 pF 001
.09-0348
NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM, NCEEP RAR 3 1 U
IN-LIEU FEE REQUEST FORM 2009
Revised 2/7!2007 WAIER N
Print this form, fill in requested information, sign and date, and either mail to NCEEP, 1652 Mail Service Center; Ral , N ND STORK R89%CM
27699-1652, or fax to 919-715-2219. Attachments are acceptable for clarification purposes (location map is required).
•----------- ----------- -- -
GONTACT INFORMATION APPLICANT'S AGENT (optional) APPLICANT
1. Business or Individual Name ; ;SHUN M /A/ 41,0167
2. Street Address or P 0 Box ! 3 /. NAg?Q(so/?/ RV
3. City, State, Zip CAR y . C...2.7-S'13 11-1-1 i.... -.11.111,11111--- -1---1 ...... _..... .... (
I 4. Contact Person i SW40 /M/Al
i 5. Telephone Number gee x,
6. Fax Number
---------------
7 E-MaII Address (opt lona1) $ M Wahq 7W0- VAA&*-C&rh
------------
i
?PROJEGT INFORMATION ?p?,Q?ca fv? h? /t/ -.tate
8. Project Name k6lhoD6CE J ?a AL?EAA? u??
9. Project Location (nearest town city)
*.*ATTACHaMAP SHOWING IMPACT LOCATIONy
10. Lat--Long Coordinates (optional)
11. Project County WAK£.
12. River Basin
? NEusr 12?vE,Z (3Atin/
11 Cataloging Unit (8-digit) (see Noce 1)
14. Riparian Wetland Impact (ac.) (e g Q 13)
15. Non-Riparian Wetland Impact (ac.}
16 Coastal Marshimpact(ao)
17. Stream Way ' .. Cool4 Cold-_..
(See Note 2)
0 O ?.
18. Buffer Impact-Zone (sq, ft.) (e.g. 12,345)
Zone 1: © Zone 2:
(See Note 3)
19. Regulatory Agency Staff Contacts

USACE: DWQ
i
(Indicate last names, if known) .._..,._ ....... .._
20.Other Regulatory ID Information
(e.g., USACE Action ID, if known)
.,,_.T. ,._.,._M. ,.._._ r.,?.._ ._.._
,
: _

.. ,_......
.....
...
-
-
.
..__......?
IMPORTANT
Check (v_') below if this request is a: orA
gent:
ofApplicant
Signature
?.H..., M . wa.?y
_ revision to a current acceptance, or
_ re-submission of an expired acceptance pate: 30/ /01
Note 1: For help in determining the Cataloging Unit, go to EPA's "Surf Your Watershed" web page:
htto //cfoub ew aov/surf/locate/index cfm Note (9) above: requirement to attach location map.
Note 2: For guidance on stream temperatures, go to:
Note 3: Buffer mitigation applicable only in the Neuse, Tar-Pamlico and Catawba river basins, and the Randleman Lake
Water Supply Watershed. Direct all questions to Kelly Williams at 919-716-1921 or kelly.wiiliams@ncmaii, net
3/26/2009 9:27 AM FROM: Fax TO: 9197180755 PAGE: 001 OF 006
W"d
AijfA
NCDENR
North Carolina Department of Environment and Natural Resources
Division ar Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Dee Freeman
Governor Director
Secretary
09-0348
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:
[I ?Major Variance
Minor Variance
D IW@1#O
410 31 !,?Q
nNFNR 20 09
sft E
ST ?ACI?y
gIERBR?Gi
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/adnin/maps .)
;,elf 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 ifthe room provided is insufficient.)
1. Applicant's name (the corporation, individual, etc. who owns the property):
SHuO Mini WANG
2. Print (homer/Signing Official (nerson legally resnonsible for the nronerty and its comnliance)
Title: SHuw MW W_A_NCr
Street address: _ 131.-/V _1ARR/S-on/ A i/E _--_-_-
City, State, Zip: CART' N. C 27Sl3
Telephone: -?- - -
---------- ----
Fax: (....__.._..._.)------------------------- - _
Version 4: March 2009
3/26/2009 9:27 AM FROM: Fax TO: 9197180755 PAGE: 002 OF 006
3. Contact person who can answer questions out the proposed project:
Name: a V £. _q-_-_-- ---_---
Telephone: 28
(....__._ ....)-----2S--- ----------------
Fax: (. _ . _ }----- - -------
Email: - Not K.q t?- t_oa ? ??-_---
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:
7 3 I_ /V•14
f1??S0
City, State, Zip: CARV A). c 27,T[3__ _---
County: WAK£.-- _-
Latitude/longitude: -- -- -
6. Directions to site from nearest major intersection (Attach an 8 1/2 x 11 copy of the USGS
topographic map indicating the location of the site).
?sJ?o4"MkM-CASK,
?F? M A? ?oAD??'u rtn?l?r6??aN?h?o,??f-onl 1??Wf 1' -
7. Stream to be impacted by the proposed activity:
Stream name (for amed reams label as "UT" to the nearest named stream):
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
NPDES Permit (including stormwater)
Non-discharge Permit
Water Supply Watershed Variance
Erosion/Sedimentation Control
-?- - --- Others (specify) ------ ----
Part 2: Proposed Activity
(Please include attachments ifthe room provided is insufficient.)
Description of proposed activity [Also, please attach a map of sufficient detail (such as a plat map
or site plan in Adobe (pdf) 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 ftZ.:
-I -,rsf.
Variance Request Form, page 2
Version 4 March 2009
3/26/2009 9:27 AM FROM: Fax TO: 9197180755 PAGE: 003 OF 006
2. Fill in the table below to identify the square footage of impact to Zones 1 & 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 $' 0 f G 1.5
Total
*Zone 1 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 1.
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:
FautiC1 at'.l \ C??o4 r' V.Opb??•PpwuQw? 01 Zu4'4_ -z-
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.
Variance Request Form, page 3
Version 4 March 2009
(2) IIuw t11Gnc dif&'Ultium vi liarJz'luYb icault fivui ?'viutitiuiia that arc wuyuc tv 111c yiuyoity
invnlvpA
3/26/2009 9:27 AM FROM: Fax TO: 9197180755 PAGE: 004 OF 006
(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.

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 natrogen6 Final Final
basin druinuge nilrogen6lauding rude removal efeienays nidrogen6 nalrogen6
basin withoutBMPs (%) loadEngrate loading
(ac) (lbs1wlyr) (lbs/ac/T) from
drainage
basin s
r
2
3
4
S
Totals
' Attach calculations
and references.
s Attach calculations and references.
6Include Phosphorus in the Tar-Pamlico Basin
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:
http://h2o.enr.state.nc.us/su/bmp forms.htm
Variance Request Form, page 4
Version 4 March 2009
3/26/2009 9:27 AM FROM: Fax TO: 9197180755 PAGE: 005 OF 006
Part 4: Proposed Impacts and Mitigation
Provide a description of how mitigation will be achieved at your site pursuant to 15A 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 plan
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:
htti): //www. nc ee p. netnews/re ports/ bu ffers. pd f
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 5: 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 from the
State, and that the easements will be recorded prior to the sale of any lot.
Part 6: Applicant's Certification
I, __ 5 f(U N M I AJ _ VVA /!1 Q____ __ (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:
S k,., hA . H/.W..
. 3I
Part 7: 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.
Variance Request Form, page 5
Version 4 March 2009
3/26/2009 9:27 AM FROM: Fax TO: 9197180755 PAGE: 006 OF 006
Part 8: Checklist
A complete application 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)
_?bC • Narrative demonstration of the need for a variance (see Part 2)
------- • A detailed narrative description of stormwater 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 (1" = 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 6
Version 4 March 2009
Location Map
File No. 8136052 Pa e #16
Borrower/Client N/A
Property Address 731 N HARRISON AVENUE
City CARY County WAKE State NC Zip Code 27513-4610
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