20051571 Ver 1_Complete File_20050816

AVA
MCDENR ,

North Carolina Department of Environment and Natural Resources
Division of Water Quality

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Michael F. Easley, Governor

William G. Ross, Jr., Secretary
Alan W, Klimek, P.E., Director

October 31, 2005

DWQ Project # 05-1571
Beaufort County

Mr. Mickey Purcell
235 Hatteras Ln.
Aurora, NC 27806
CERTIFIED MAIL: #7005 1820000246304600

Subject Property: Bond Creek Estates Lot # 12
Tar-Pamlico Basin

Approval of Tar-Pamlico River Riparian Buffer Protection Rules Minor Variance [15A
NCAC 2B .0259 (9)(b)]

Dear Mr. Purcell:

You have our approval, in accordance with the conditions listed below, to impact 165 square
feet (fe) of Zone 2 of the protected buffers to construct a residence on the subject property as
described within your variance request dated August 13, 2005 and received by the Division of
Water Quality (DWQ) on August 16,2005. These impacts must be in accordance with the plot
plan submitted with your application. This letter shall act as your Minor Variance approval as
described within 15A NCAC 2B .0259(9)(b). In addition to this approval, you should obtain or
otherwise comply with any other required federal, state or local permits before you go ahead
with your project including (but not limited to) Erosion and Sediment Control and Division of
Coastal Management regulations.

This approval is for the purpose and design that you described in your application. If you change
your project, you must notify us and you may be required to send us a new application. If the
property is sold, the new owner(s) must be given a copy of this variance approval and plot
plan and is thereby responsible for complying with all conditions. This approval requires
you to follow any conditions listed below.

N. C. Di.ision of Water Quality 943 Washington Square Mall

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NCOEN:{
Washington, N.C. 27889 Telephone [phone] FAX [phone]

The Additional Conditions of the Certification are:

1. No Zone 1 Impacts

No impacts (except for proposed and "exempt" uses as identified within 15A NCAC 2B
.0259) shall occur to Zone 1 of the protected riparian buffers unless otherwise approved
by the DWQ. No impervious surfaces shall be added to Zone 1, unless otherwise
approved by the DWQ.

2. Buffer Mitigation (EEP)
Option 1:
Yon are required to mitigate for impacts to the protected riparian butTers. The
required area of mitigation to compensate for impacts to the protected riparian buffers is
248 square feet as required under this variance approval and 15A NCAC 2B .0259. You
have the option to make a payment into the Riparian Buffer Restoration Fund
administered by the NC Ecological Enhancement Program (EEP) to meet this mitigation
requirement. This has been determined by the DWQ to be a suitable method to meet the
mitigation requirement. In accordance with 15A NCAC 2B .0259, this contribution will
satisfy our compensatory mitigation requirements under 15A NCAC 2B .0259(9)(C).
Until the EEP receives and clears your check (made payable to: DENR -Ecological
Enhancement Program Office), no impacts specified in this variance approval shall occur.
The EEP should be contacted at [phone] if you have any questions concerning
payment into the EEP.

For accounting purposes, this variance approval authorizes payment into the
Riparian ButTer Restoration Fund to compensate for 248 fe of required riparian
butTer mitigation for impacts to 165 fe of protected riparian butTers; 30-04-10,27-
129-(1) river and subbasin."

Option 2:
The DWQ will accept an alternative method of mitigation (including but not limited to
Buffer Restoration or Enhancement) pursuant to the Buffer Mitigation Rule (15A NCAC
02B .0259) to satisfy this mitigation requirement. If you choose to pursue this option,
then you are required to submit in writing a mitigation plan to the DWQ Wetlands/401
Unit/ Washington Regional Office for review and approval. This plan should include a
proposal to plant at least two (2) native species of trees with in the riparian buffer area.
For more information, please contact this office. No impacts shall occur to the
protected butTers until the mitigation plan is approved by the DWQ.

3. Diffuse Flow

An additional condition is that all stormwater shall be directed as diffuse flow at non-
erosive velocities through the protected stream buffers and will not re-concentrate before
discharging into the stream as identified within 15A NCAC i ~~~ DW~ ~

NOV 1 0 2005

DENR - WATER QUALITY
WETLANDS Nm STORMV1ATER BRANCH

4. Certificate of Completion

Upon completion of all work approved within the 401 Water Quality Certification or
applicable Buffer Rules, and any subsequent modifications, the applicant is required to
return the attached certificate of completion to the 401/Wetlands Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.

Requests for appeals of this decision shall be made to the Office of Administrative Hearings. If
you do riot accept any of the conditions of this approval, you may ask for and adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a
hearing, send a written petition which conforms to Chapter 150B of the North Carolina General
Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. This approval and its conditions are final and binding unless you ask for a hearing.
This Minor Variance Approval shall expire five (5) years from the date of this letter.

This letter completes the review of the Division of Water Quality under the Tar-Pamlico River
Riparian Buffer Protection Rules [15A NCAC 2B .0259(9)(b)]. Please call Kyle Barnes at 252-
948-3917 if you have any questions or require copies of our rules or procedural materials.

Sincerely,

jL~'J:Gr_

Al Hodge/Supervisor
Division of Water Quality
Surface Water Protection
Washington Regional Office

Enclosures: Certificate of Completion
Project Plan

cc: DWQ WaRO Regional Office
~WQ Central Office, Cyndi Karoly
Central Files
Beaufort Co~ Dept. of Building Inspections

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Certification of Completion

DWQ Project No.:

County:

Applicant:

Project Name:

Date oflssuance oflsolated Wetland Permit:

Certificate of Completion

Upon completion of all 'work approved within the 401 Water Quality Certification and Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be returned to DWQ by
the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of
these.

Applicant's Certification

I, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Watcr Quality Ccrtification and Buffcr Rules, the approved plans and specifications.
and other supporting materials.

Signature:

Date:

Agent's Certification

L . hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Watcr Quality Ccrtification and Buffcr Rulcs, the approved plans and specifications.
and other supporting materials.

Signature:

Date:

If this project was designed by a Certified Professional

I. , as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe (periodically,
weekly, full time) the construction of the project, for the Permittee hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed to be built within
substantial compliance and intent of the 401 Watcr Quality Certification and Buffer Rules, the approved plans and
specifications. and other supporting materials.

Signature:

Registration No.

Date

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NOV 2 9 2005

RECEIPT

'_ D,~NR - WATER QUALITY
\. CTUw iDS NiD STORIll'~TER BRANCH

Novcmber 22, 2005
DWQ #: 05-1571
COE #: N/A

Mickcy Purccll
235 Hattcras Lanc
Aurora, NC 27805

TD.J\D7

Projcct: Bond Crcck Estatcs, Lot 12

County: Bcaufort

Thc North Carolina Ecosystcm Enhanecment Program (NC EEP) has rcceivcd a chcck in thc amount of $238.08, check
numbcr 78244725. as payment for thc compcnsatory mitigation rcquircmcnts of thc 401 Water Quality Ccrtification/Scction
404 Pcrmit issued for thc above rcfcrcnccd projcct. This rcccipt scrves as notification that thc compcnsatory mitigation
rcquircrncnts for this project have bcen satisficd. You must also comply with all other conditions of this ecrtification and any
othcr state, federal or local govcrnrnent pcrmits or authorization associatcd with this activity.

The NC EEP, by acccptanec of this payment, acknowlcdges that the NC EEP is rcsponsiblc for thc compcnsatory mitigation
rcquircmcnts assoeiatcd with thc projcct pcrmit and agrecs to provide thc compcnsatory mitigation as specified in thc permit.
Thc rnitigation will be performed in accordanec with thc Memorandum of Undcrstanding bctwccn thc NC Department of
Environmcnt and Natural Rcsources and the US Army Corps of Enginccrs datcd Novcmbcr 4, 1998, as indicated in the table
bclow.

Rivcr Basin Wetlands Strcam Buffcr Buffcr
Cataloging (Acrcs) (Lincar Fcct) Zonc 1 Zonc 2
Unit (Sq. Ft.) (Sq. Ft.)
Riparian Non-Riparian Coastal Marsh Cold Cool Warm
Tar-Pamlico 0 0 0 0 0 0 0 248
03020104

Plcasc notc that a payment made to thc Ecosystcm Enhanccmcnt Program is not rcimbursable unless a request for
rcimbursemcnt is rcccivcd within 12 months of the datc of thc rcceipt. Any such rcqucst must also bc accompanicd by Icttcrs
from thc pcrmitting agencies stating that the pcrmit and/or authorization have been rcscindcd.

If you have any questions or necd additional information, plcasc contact Carol Shaw at [phone].

Sinccrcly.

a::D~"h~J~

Dircctor

ce: Cyndi Karoly, Wctlands/401 Unit
Doug Huggctt, Division of Coastal Managcment
Scott Jones, USACE - Washington
Kyle Barncs, DWQ Rcgional Officc - Washington
File

RMtoYinj... E~... pyotectinj Our Stat~

A7A
NCDENR

North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476/ www.nceep.net

NA
~CDENR

North Carolina Department of Environment and Natural Resources
Division of Water Quality

O-T F
~~

Michael F. Easley, Governor

William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director

Scptcmbcr 21,2005

DWQ Projcct # 2005-1571
Beaufort County

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
#70033110000206086979

Mr. Mickey Purcell
1 000 Yacht Ct.
New Bern, NC 28563

REQUEST FOR ADDITlONAL INFORMATION

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R QuN-\n'
DE~R - W~~~.w~1tR BRNlCH
'1','e1\.JJms N~O s

Subject Property: Lot # 12 Bond Creek Estates

Dear Mr. Purcell:

On August 15,2005, the Division of Water Quality (DWQ) Wetlands/401 Unit received your
variance request. The DWQ has determined that your project is eligible for the use of the Minor
Variance From the Neuse and Tar-Pamlico Riparian Buffer Rulesfor residential structures.
However, the DWQ needs additional information in order to complete the approval process of
your variance. Therefore, unless additional information is provided as described below, we will
have to move toward denial of your request per 15A NCAC 2B .0259 (9) and will place this
project on hold as incomplete until we receive this additional information. Specifically:

Additional Information Requested:

In Part 2: Section (1) the square footage of buffer impacts is requested. Your response was,
"build single family home on pilings". The square footage of impacts is needed to complete
your application. Please submit information indicating the number of square feet of impacts in
Zone 2 ofthe Riparian Buffer.

N. C. Division of Water Quality 943 Washington Square Mall

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NCOOO
Washington, N.C. 27889 Telephone [phone] F A..X [phone]

variance letters

Subject: variance letters
From: Kyle Barnes <[e-mail]>
Date: Mon, 31 Oct 200515:31:47 -0500
To: Ian McMillan <[e-mail]>

These were written today:

05-1571 Bond Creek Estates Lot #12
Beaufort 08/16/05 09/21/05
request for sq. footage on application

tp/gmv

Hold: letter sent 9/21/05,

Issued normal conditions

05-1751 Oriental Plantation lot #56 pamlico 09/14/05 10/31/05 NBR/GMV Hold for more
information

KB

1 of 1

10/31/20053:42 PM

AVA
NCDENR

North Carolina Department of Environment and Natural Resources
Division of Water Quality

William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director

Michael F. Easley, Governor

September 21,2005

DWQ Project # 2005-1571
Beaufort County

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
#70033110000206086979

Mr. Mickey Purcell
1 000 Yacht Ct.
New Bern, NC 28563

Subject Property:

Lot # 12 Bond Creek Estates

REQUEST FOR ADDITIONAL INFORMA TlON

Dear Mr. Purcell:

On August 15,2005, the Division of Water Quality (DWQ) Wetlands/401 Unit received your
variance request. The DWQ has determined that your project is eligible for the use of the Minor
Variance From the Neuse and Tar-Pamlico Riparian Buffer Rulesfor residential structures,
However, the DWQ needs additional information in order to complete the approval process of
your variance. Therefore, unless additional information is provided as described below, we will
have to move toward denial of your request per 15A NCAC 2B .0259 (9) and will place this
project on hold as incomplete until we receive this additional information. Specifically:

Additional Information Requested:

In Part 2: Section (1) the square footage of buffer impacts is requested. Your response was,
"build single family home on pilings". The square footage of impacts is needed to complete
your application. Please submit information indicating the number of square feet of impacts in
Zone 2 of the Riparian Buffer.

~~@[~WW~@
OCT 1 3 2005

,S,VA
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NCDW
N. C. Division of Water Quality 943 Washington Square Mall Washington, N.C. 27889 Telephone [phone]. F A..X [phone]

DENR - WATER QUALITY
WETl..NIDS NID STORI.IWA TER BRANCH

Please respond in writing within three weeks of the date of this letter by sending a copy of
this information to Kyle Barnes of the DWQ Washington Regional Office at 943 Washington
Square Mall, Washington, NC 27889. Ifwe do not hear from you in three weeks, we will
assume that you no longer want to pursue this project and we will consider the project as
withdrawn. Please call Kyle Barnes of this office at [phone] if you have any questions.

~ncer~l' . .L-
I-\J- 1-
AI Ho ge Supervisor
Division of Water Quality
Washington Regional Office

-"

C\/o1 Central Office

Variance Triage Sheet

DATE: 8/22/05

PROJECT NAME: Bond Creek Estates, lot 12

DWQ #: 20051571

COUNTY: Beaufort

TO: Kyle Barnes, Washington Regional Office

FROM: Debbie Edwards

TELEPHONE: [phone]

The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.

D
~

"General" Major Variance

Minor Variance

COMMENTS: As per the discussion regarding revision of the triage
and delegation processes, please review the attached file. Note that
you are the first reviewer, so this file will need to be reviewed for
administrative as well as technical details. If you elect to place this
project on hole, please ask the applicant to provide your requested
information to both the Central Office in Raleigh as well as the
Washington Regional Office. As discussed, this is an experimental,
interim procedure. Please let the Central Office know of any
complications you encounter, whether related to workload, processing
times, or lack of a "second reviewer" as the triage process in Central
Office had previously provided.

o \'( \(~;. I ,.J f\ L

I OFFICE USE ONLY: Date Received

Request #

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality

Variance Request Form - for Minor Variances
Protection and Maintenance of Riparian Areas Rules

NOTE: This form may be 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)

l:( Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC 02B .0259)

o Catawba River Basin: Protection and Maintenance of Existing Riparian
Buffers (15A NCAC 02B .0243)

Part 1: General Information
(Please include attachments if the room provided is insufficient.)

@&@&DW&@

AUG 1 6 Z005
l}1:n ~ENR W.
~ 'VV/DS Nm sYER QUALITY
ORMWATtRBo"
'vv/CH

1. ~plicant's name (the corporation, individual, etc. who owns the property):
'Kfi'f A m,'e-fUNd v- C1~(J I WIJ//;~c.<. ?4A.f'O- U

2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
N.ame: . 1?tJ If~ /71. Pura /1
Title: Ow n -i-r
Street address: ~ 3 r J/~7l< r RS 1/:;" ~
City, State, Zip: ,4ot ra rl'1, AI. c... . ~? fa (.,
T etephone: O?S~ '" 1 0 - ? 99 cr
Fax: ofS"~ (,.,33..;'.9 t,,S"

3. Contact person who can answer questions about the proposed project:
Name: ~/p~ //l. 'Pc.trce/I
Telephone: ~S-Z-. ~ 7() -?199
Fax: dlS:J.-. G, 3 3 ~ 7(,S
Email: /17 /C.. f C/ r ~ CAIt.-7J. I,' nIt. , AI eT

4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, sppcifications, letters, operation and maintenance agreements, etc.):
15dn d Cree. /( ~ STAteJ

Version 2: November 2002

5. Project Location: '6 dnd CreeK- [.s7R"'l"es Ld! tt' I;'
Street address: d 3 S- II;:; JJe.r/'1 J Lrl/1 ~
City, State, Zip: fltA.rarA J c.... t?< 7J'tJ ~
County: ?eR"",.fVr I ,
Latitude/longitude: AI & 'I ., <II ' () S' C - /lI.z 9 6 '/1 .t.s oJ

6. Directions to site from nearest major intersection (Also, attach an 8 Y2 x 11 copy of the USGS J ~ a ~ '
topographic map indicating the location of the site): iliA. f"cr'1 ilw1 s.3 -r;; Sfr,'n;; Crt.-t..-K:. f?- \!r h/.1

(!)dn S;r};'J Cr~tt.- 0J}l/~t Td g07J Cret.-~ c.t7iJ7es ({) o?-l Oc rd Fl,k.~ Lr1l1 (.,
/lfl'rcr-./d()/r 7:1l1ll7nr~s4M(.,,-;.Jffr~ 7/d //1,'/(.. -,&,<Je:I cletJ..J~Js
)/110 froptrTcr

7. Stream to be impacted by the proposed activity: "Bdn j &.~.e"i<
Stream name (for unnamed streams label as "UT" to the nearest named stream):

Stream classification [as identified within the Schedule of Classifications 15A NCAC 28
.0315 (Neuse) or .0316 (Tar-Pamlico)]:,O 3/ ~

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
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 ft2.]:

'])(!..$cr::pllan d~pR."fa.Jr,clfiC.:r;y/~ '- }td/J s,'nfj/<' ~I'h:/., jPmt.-
OYlp'/)n!J's

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:

])(..{. e.- ~ ~t.p' -r;.c., ~ () /rJ7/C17's . /'7()T U"J(Jt(.5L ~V'rn 7d tv/ /J
w/a ,'n .f'r"n~,\n6 ~ sJo' sr.'" ~C4c..k, fUA//!,.

Variance Request Form, page 2
Version 2: November 2000

3. Description of any best management practices to be used to control impacts associated with
the proposed activity (Le., control of runoff from impervious surfaces to provide diffuse flow,
re-planting vegetation or enhancement of existing vegetation, etc.):
~ Cc/rJTr,/ IJn'1 R.uf\.o-t:"-F f'1 s.'tr-A--nc.-<.- wIll J!- l-'..JeJ ctr/n:;

(!,p].,.fT ~c /:' ~

4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
0/ -rl {/W/ ~ JN7Il-i~i1c,c..- w :/1 /ld/ /;<. /16/!- ;; tv,'/J'rme

dJl /tlr.

(2) How these difficulties or hardships result from conditions that are unique to the property
involved.

1JL{!- 76 S~'{;'c &,,/,o'l/0->S 'I" Set 6a-c./t. tt.-vlu :tZ&r-c.. ,os /JilT ~o&<-OJ....
~Vrn ~ f /}3 C (., j-lt7'PJ c-

(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.

& rli 11 f,A.":T vf7ll/~n"(., /&n j V/vv II i" C1.n uSfiJi/<.- An j .we-
WtllA.--/J 6-<. tUJptlt.. % bv,le! OlNr ~&I'lne. - 7Z4J /"tJ.r"nJ a"'-'r
/'/JJ/~/r/m"nr ,'/1 frQP~rT'r 4/~ IV,'St... 7d 1h1Jb.. 4vm-<--.

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:
Fax:
Email:

Part 5: Applicant's Certification

Variance Request Form, page 3
Version 2: November 2000

I, ~II'^ IJJJc.hIJ~ I ?urc. ell (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:

i?~h~u-9 'P~

o u.J rJ (:. (L.

Variance Request Form, page 4
Version 2: November 2000

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~ew Construction
o Repair

Environmental Health Section
Beaufort County Health Department
220 N. Market St.
Washington, North Carolina 27889
[phone]/ Fax [phone]

IMPROVEMENTS PERMIT
Improvements permits are subject to revocation if the site plans or intended use changes or site alterations occur.

~ate: 7-12 -2 ooG
wner: -r:..I'''rf....~_ ~ L c.. Phone: ("33'C) 5"ctJ -7ZOfj,
ddress: c;:.r 0.. " .' /1.. If/. C .
Subdivision: 1:10/1"'/ Cr-.,;>€'/c . LotNumber: /Z'l5'8c...-"w,
State Road Number: Iq 12 Directions !&,j ("t.... /: <;k L:.J
p 1/"7 -of ~/"? "..",,,.J.:,'/1t.'~/' 10-DIGITPIN____-__-____
Property Size: / 1t:f'7r + . S'1 c c.. Type StructUre: fI., / ,'" p
No. Bedrooms: ?: No. People: ~
Water Supply: ('" -"/11 " , ., . I :/..;/ (Maintain minimum...&.- feet
~eparation from any part of septic system and repair area.)
Classification: 0 Suitable J;:a>rovisionally Suitable 0 PS with fill
Additional Drainage: /1'7 1~":'1,' " -::-*h", c?r." ~ h -;-/'.--/0, r C:>:# t'.~
Seasonal Wetness Condition: I :29~' Soil Type . 7Jl::
Septie Tank: / /V' r' , ~al. Pump Tank: gal,
Nitrification Field: 9uo.?l (I;r..~./e.., fr"" c/1 square feet trench bottom
Trench Depth: / ";? II FlI Depth: C:" "7/" -;-;:. .; Cow r
Comments: 4- /- II (' - - -;? / /7-5 / t? h" . /" I: ~,' Ir~ .,r, -, ~~ -
p;.,- ,." :1..;:/ ':"I/':"tf.... ;:;;-v:;r /7r-t-, '.... ~/. /,.,1- 51?
"/~,~h ,..// t'~')J, r~ ~-,qD'/"..; ;" /~~/{7/1
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Additional for all systems: Landscape system area for surface water runoff and grass,
Do not place drive or any building over the system area or repair area. Observe all
proper setbaeks (10 NCAC lOA .1950), Do not work soil or install system in wet
conditions, This permit must be on site during installation and inspection.
(/' L ... /",/ . <'.,-
Environmental Health Specialist' ~/,.. -. /~ ---:' . ~ . ,{" oJ ,

White ow~ontractor Yellow - Health Department

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Site Plan

Date:

72- ,-
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Pink Building Inspections

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REFERENCE:
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Prepared with QuikPla
. tPr032 s.oftwaro by Oeaufort County

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/' Swner Address(2):Greenville, N.C. ~ V' ~ ..', ~
owner Phone #:[phone] ~ 1t:t.A
. property ~dres~:.8ond Creek SUbdivision,~ot # 12 & ~8 combination
PIN:1921 ~ ....,i"" ~, Q . ~~IV-

"'~:;:"%~menlType:Home 0.,; ,"""t
Type of Well:Public Well V ~r.
Design Flow (GPD):360
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Initial Site ~rt ,.... ~ ~ n, ;:
Wastewater System:Chambered System
Long Term Acceptance ~ate(GPD/SQFT):0.3 f!
Trench Width:3 FT .~_~ _ ~ .
Trench Spacing (OC):9 FT~, :. ".;II; ,6 l
Trend> Botlom F. rom.. NG.L:-12/N\' V,". Q}J... '.. '. '. ~' '5'
Septic Tank vO;U~~O~O~~L, .:". /'1 "'~ ~ t

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:rnof of PO"""u", .....m.nt.:: = ha.. ,hang.d "no,,- map .,,"" "'!',"""d and "'",""'_be dz;n!2!'- -"'0' to oil. plan ~PP".al,-
'o~~'r Groa Is lo~~t d e repair area must be provided befoe:authorization to Construct is issued. ~., ~.~.(J..' " ......_
' ...... ~ e on Jot 58 who h' IIll I fim - 'ifi. ~~ 't;.. \ !i;1 7
uthortzation to Construct Will bo ~ IS part of this prop~rty. ~ ~ ~:i ~ ~. ,~ .' . ,'. ''f.',\ '~j1., '
1d ~PProvOd byth13 offico. Ued When CAMA appr~. ved ~it~.!an~. Ubl2l.ittedJ:!-.. '_ ~. . ~':A' . ".'. '.. ~ .t1.
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Authorized Agent: ~:~~. .~ '.6 CP'-':t,
. / /";. ,.;). ~Date 7/1212005_ _ T;.~
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I OFFICE USE ONLY: Date Received

Request #

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality

Variance Request Form - for Minor Variances
Protection and Maintenance of Riparian Areas Rules

NOTE: This form may be photocopied for use as an original.

Please identify which Riparian Area (Buffer) Protection Rule applies.

[J Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC 02B
.0233)

2.( Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC 02B .0259)

[J Catawba River Basin: Protection and Maintenance of Existing Riparian
Buffers (15A NCAC 02B .0243)

Part 1: General Information
(Please include attachments if the room provided is insufficient.)

m~@~D\YJ~@

AUG 1 6 2005

1. ~plicant's name (the corporation, individual, etc. who owns the property):
'Kf1lf j., m..c.J1IU./ v- Cue" I WIJ/!t~c.<.. ?lA.r-C& U

2. Print Owner/Signing Official (person legally responsible for the property and it~~~-~~~~~~Ir
N.ame: . 1(/1 I f ~ /71. Rr rc ( II RNJCH
Title: OGU n-L-r
Street address: ~" r- NrJ71i If'" RS 1.8""
City, State, Zip: /l/.f. rd r-t'1 I AI. C- . 0< ? P () t,
Telephone: OlS:L ~ 10 - J' 99 'i'
Fax: ofS:l- <;.33 -.;'.9 (PS

3. Contact person who can answer questions about the proposed project:
Name: ~ Ip ~ /J7. "At rc e. /1
Telephone: ~S-:L 4> 7tJ -~1'19
Fax: cXS'- ~ 3 3 ~ 7r,S
Email: Pllc-fvrtaJE~/t.:TJ.I..nl( , #eT

4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, sp~cifications, letters, operation and maintenance agreements, etc.):
15dn d Cree.. k. ~ sTA7eJ

Version 2: November 2002

5. Project Location: 6 ern J Cre,~ K. [.s 7R-re J Ld r d /)-
Street address: &13S- 1I;:i7Te;/'1J Lrl/1~
City, State, Zip: FllA.rarA J e..,. p< 7?tJ '='
County: '6c...At,IL,-fVrl ,
Latitude/longitude: AI tJJ 'I 4 <II . ~ S' C - ;1/.,z q 6 'II .t.s u.J

6. Directions to site from nearest major intersection (Also, attach an 8 Y:z x 11 copy of the USGS I/: 0 "
topographic map indicating the location of the site): iliA. /"~rA 1I~1 $.3 -ro Sfr)n;j Cret.../c. f?,cJ\p- hlJ.-)

(!)l1J1 Sip'h!JCr~tJ:., 011J/et Jd -g~)J Cre~,t C.f71/7Es(!) o?'l Ocr" ,:I/(.~ L,q,;{,
/ifl'rdK-. /tJo/r r;, lI~r~.! LAn ~ -;Qffr~ 7/d IJ7 ,'It.. ~ RolJr:I cle-it,} ~J:
JI170 fraptr/tr

7. Stream to be impacted by the proposed activity: "Bdn j C'UJ,e.-J<
Stream name (for unnamed streams label as 'UT" to the nearest named stream):

Stream classification [as identified within the Schedule of Classifications 15A NCAC 28
.0315 (Neuse) or .0316 (Tar-Pamlico)]:,O 3/ ~

8. Which of the following penn its/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 Penn it
On-site Wastewater Pennit
NPDES Pennit (including stonnwater)
Non-discharge Pennit
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 fe.]:

J)eSc.r::fl/or. d~ffl()fo.rr.cllt~r;j/,'t'~ .- jUJ/J S,'n&/~ rfPlh:/~ Annt..-
on f' I) n!J .s

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:

'1>"<..e- ~ 5't.-f.t:.c- ~i.J/~7l~.s ./'7{JT f-ntJU5L,LAVin;; Iv,'l}
VI/O ,'n /;-Jn~"nb ~ sJo' sr,'! ht;..c./C. ;Uv/{..

Variance Request Form, page 2
Version 2: November 2000

3. Description of any best management practices to be used to control impacts associated with
the proposed activity (Le., control of runoff from impervious surfaces to provide diffuse flow,
re-planting vegetation or enhancement of existing vegetation, etc.): j /
"7d C</rJrr, I IJn'1 i!a". o~E F1 ,r,' tr A-r}c..~ w/I/ J!. ~e (f~r"nJ

~.i7/Wct:.~

4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.. / / I I J
tu!"I{/~c... v;:;{l..MJ1c,~ w:/I/JaT.6<... /Jo/t..;; /.)v,',cI /"/ne

~ /~r.

(2) How these difficulties or hardships result from conditions that are unique to the property
involved.

],hu..76 Sef7)c ~v/,(}7/0-0-S If' Se/6a.cJt. Ilv/u :tZ'~c- ;,I /lilT U10/<'VJ....
/!pvrn ~ f/tJc. C- ~d")7] c-

(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.

w,trf.(/~-r vIJ/lAivnt.-t- /fJnj (#Qv/j ic- ~/lus/J'/<' Anj.we-
wtJ,,-/J 6<. tU7Pt/-c.. 70 iv;tel O{Nr 4vme.. - ~&W /"t1S,'i1J awr
,"/}vt'r/murT ,'n fr"P<-f77., w<- IV,ISJ... 7d thlJK.t- 4'gm~.

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 stonnwater
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:
Fax:
Email:

Part 5: Applicant's Certification

Variance Request Form, page 3
Version 2: November 2000

I, ~/p^ ll7icl]/J~ I ~rc ell (print or type name of person
listed in Part I, Item 2), certify that the infonnation included on this pennit application form is
correct, that the project will be constructed in confonnance with the approved plans and that the
deed restrictions in accordance with Part 5 of this fonn will be recorded with all required pennit
conditions.

Signature:
Date:
Title:

~L1~fh~u-9 V~~~
]':113 -oS
OwrJt:= (L

Variance Request Form, page 4
Version 2: November 2000

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Environmental Health Section
Beaufort County Health Department
220 N. Market Sf.
Washington, North Carolina 27889
[phone]/ Fax [phone]

IMPROVEMENI'S PERMIT
Improvements permits are subject to revocation if the site plans or intended use changes or site alterations occur.

tale' 7-12-20oG
wna: -r::.,6"rl,,~ .( L C Phone/:3'3'C) 5"04 -7za6
ddress: 6("/......://... A/.C.
Subdivision: ;z;h/,oI L"-i't.-Ic . LotNumber: /.z'l5'&o;,,,~.
State~Number: It} 12 Directions !e"j /i,..1: <;,t.. L:.I
.P /? ~ .;;:; R /",.".j.:'v'Jf.:~I' 100DIGITPIN____-__-____
PropatySize: /I{/.--;r + . ?1cc. 1)tpeStructure: Hnl'-P
No. Bedrooms: ? No. People: ,,:;
Water Supply: (/1/",.." ,,/ ,AI (Maintainminimum~feet
I sep;uation from any part of septie system and repair nrea.)
Classification: Q Suitable Ja:t>rovisionally Suitable a PS with fill
Additional Drainage: 1r,.Ac'.,,~p ':;-sk;~", C:>r~~ A, -;;-/'--In.,.r;;('~/.A~h
Seasonal Wetness Conditio~: / 21" , Soil Type . 7'TZ:
Septic Tank: /,r)I"1 C ,~al. Pump Tank: gal
Nitrification Field: <700 /-1 f fh, ,r/: "Ie.. fr r' " c/1 square feet trench bottom
Trench Depth: 1'7 It Fi Depth: r:::" r;-r' 0;-;. '/ CO//,-- ,-
Comments: 4- /-1/ e - - -;:::' I /7~ I p .~.".,I: v," fl., "/,,, /, -, ~A: .
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Additional for all systems: Landscape system area for surface water runoff and grass
Do not place drive or any building over the system area or repair area. Observe all
proper setbacks (10 NCAC lOA .1950). Do not work soil or install system in wet
conditions, This permit must be on site during installation and inspection.
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I Site Plan

Date: 7-12 -Zpo5

Pink Building Inspections

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J g,."cr Addrcss(2):Greenville. N.C.... ~. ,..$' ~ .... ", h .."'" _ ~. .
I owner Phone #:[phone] ro t iA II
property Address:8ond Creek Subdivision lot # 12 & 58 combination _ Jil, ,{!: .
PIN:1921- ~ ....,ff' 'f,jO,." '0 ~;~ v- . .' 't~ 't ~~}
Record # ....... '.."J ;. .,..~ iIii-. \ \,,,,
....Establlshme~lTY~e:Home "" \t. -... ",. _. . ~ ;;i.", y. ._~~: ~
Type of WelLPubllc Well l;ll........1 ~ 4. vV'
Design Flow (GPD):360 _ ,Iii-' _~, ,~: 0:1;,"~. ...
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Initial Site V'" .. ....hi' ~ . . ",Ol ~"!r~O:~fect, '"
Wastewater System:Chambered System f.iJ.-~'" if.1 'ii k, 1:600 v "". J
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Trench Wldth:3 FT Il~ -~ - ~ . ~ ~'~. ~ ~Qi'" <;;, ....9'"
Trench Spacing (OC):9 FT~1 -=, t\." .6 1t.. . J. otif~~.'
Trench 8ottom From NGL:-12INt . V'" .. .~I I J
Septic Tank VOlume:10.0 0 ~Al i ~"'f/}J:", '.' """k..- it" ~~... ~.
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