20051737 Ver 1_Complete File_20050913

.!

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

October 17, 2005

DWQ Project # 05-1737
Beaufort County

Mr. Henry Slocomb, Jr. and Arthur E. Cockrell
81 Point Ave.
Belhaven, NC 27810
~ CEB.TJFIgD:MAIL: #7003 311000020608 6948

~~@@lDW~ @

OCT 2 V Z005

Subject Property: Sportsmans Hideaway (Cockrell/Slocumb Lot)
Sportsmans Hideaway
Belhaven, NC 27810
Beaufort County

DENR - WATER QUALITY
WETWlDS AND STORMWATER BRANCH '

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

Dear Mr. Cockrell & Slocumb:

You have our approval, in accordance with the conditions listed below, to impact approximately
338 square feet (ftI) of Zone 2 of the protected buffers to construct a storage building on the
subject property as described within your variance request dated September 7,2005 and received
by the Division of Water Quality (DWQ) on September 13, 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 inchldin~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.

A~J\
+'-
NCDENR
N. C. Division of Water Quality 943 Washington Square Mall 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:
You 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
507 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 detennined 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 507 fr of required riparian
butTer mitigation for impacts to 338 fr 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 four (4) 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 2B .0259(5).

4. Certificate of Completion

Upon completion of all work approved within the 401 Water Quality Certification or
applicable Buffer Rul~s, 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 not 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 fmal 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,

~~u~

Division of Water Quality
Surface Water Protection
Washington Regional Office

-

Enclosures: Certificate of Completion
Project Plan

cc: DWQ WaRO Regional Office
v15wQ Central Office, Cyndi Karoly
Central Files
Beaufort Co; Dept. of Building Inspections

"

~

I^I7;L _.. ~
f8 o/~S

I
! i

~ . .

'Ii
i I
I ; 1,
III
Ijl
IIi
! i
"1
1il
:1 :
ili
'I-
I ,
. '
ili
'!i
1!1

,.~ !
Iii
;,1
i;l
'j-t.,
III

't '1"'"
:...; Ji
-1_'"1"

It. J. u y' -r L.- I 5'--,;T

-

1
~
k
h'd
6",
I
r -
~
~

.~ I )0,
(J.,.> /'f (,J:..)
~ tJ

r:"
'> ~ pi

o -:a 'T"e.-,
IS 0 < r ;1/r'7O

~\) t ~. P1.

Variance Triage Sheet

DATE: 9/19/05

PROJECT NAME: Slocumb/Codkrell

DWQ #: 20051737

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" MajorVariance
~ 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.

Request #

fO)~@~Anw@~
~ ~<'o
SEP 1 3 Z005 0 S
';>
(Y~

.. l

I OFFICE USE ONLY:

Date Received

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

DENR - 'lJATER Q\J\LlIY
V.'ETU\NDS AND STOm,iWA'1 ER bRANCH
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)

~ 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)

_"",_:.-,~~."";';:;;,;';';" .;."_<.=-,, ::~:::':"n--.-'~ ~~:~

- .

~ -.

"",.. ..

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

1. Applicant's name (the corporation, individual, etc. who owns the property):
W. HENRY SLOCUMB, JR. and ARTHUR E. COCKRELL

2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: W. HENRY SLOCUMB, JR.
T~e: 1/2 OWNER
Street address: 81 POINT AVE.
City,State,Zip: BELHAVEN. NC 27810
Telephone: !1..21...) 964 - 2401
Fax: L-)

3. Contact person who can answer questions about the proposed project:
Name: ARTHUR E. COCKRELL
Telephone: ~) 793-9028
Fax: ~) 793-9225
Email:

4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
STORAGE BLDNG, SPORTSMANS 'HTnF.AHAY- r.Or.KRF.T.T. .I Sf OCTTMB LOT

Version 2: November 2002

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.):
ROCKED OR GRASS TO PREVENT EROSION OR DISTURBANCE

4. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
UNABLE TO UTILIZE DOORS ON EACH END OF BUILDING.

(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
END OF BOAT RAMP 37 FEET FROM PROPERTY.

(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.

NA

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): NA
Mailing address:
City, State. Zip:
Telephone:
Fax:
Email:

Part 5: Applicant's Certification

Variance Request Form, page 3
Version 2: November 2000

-'

5. Project Location:
Street address:
City, State, Zip:
County:
Latitude/longitude:

SPORTSMAN HIDEAWAY
BELHAVEN, NC 27810
BEAUFORT COUNTY, NORTH CAROLINA

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):
OFF SR 1764 TURN ONTO SPORTSMAN HIDEAWAY RD., INTERSECTION
OF-c- SPORTSMAN HIDEAWAY Rn-: A ND'-PO INTAv'ENUE
VACANT LOT. 12 MILES SOUTH BELHAVEN, 5 MILES MORE OR I.ESS
REACHING PAMLICO BEACH.

7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as oUT' to the nearest named stream):
TARKLING CREEK
Stream classification [as identified within the Schedule of Classifications 15A NCAC 28
.0315 (Neuse) or .0316 (Tar-Pamlico)]:

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)

x

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.]:
SEE ATTACHED

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:
BEST UTILIZATION OF LOT.

Variance Request Form, page 2
Version 2: November 2000

"

.I

I, ARTHUR E. COCKRELL / W. HENRYS LOCUMB, JR{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 co structed in conformance with the approved plans and that the
deed restrictions in accordance Ith Part 5 of this form will be recofded with all required permit
conditions. '

Signature:
Date:
Title:

\

Variance Request Form, page 4
Version 2: November 2000

... -'"

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)

....... - .- L.

~

hJ ,"/Vs h )j/j'v-.e.
- S"A}-li. '/ J- G,,<,/J/e/2..
g.;;.cAJ~ -nct!

" I

~

- ---

~.
t',
)
ru ! j
V

ii
i
i-
i
\1
II

I
f....
II
I
I

!^/};L .--{.~
.... 180 I~S

I!. J. u~' -rL.- I 5''"FT

~
J

.. ".,
.
;
!

'> ~ pf

-:a 'f"e.-,

ISJ<r;1n~/ .

:n t 4cP1.

"

,

OFFICE USE ONLY: Date Received

Request #

~[g@~nw~ ~
SEP 1 3 Z005

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

~
DENR., WATER Qu,\UTY 0
WETLANDS Ai'-lD STORMWATER BRANCH 0
Variance Request Form - for Minor Variances 0'/,
Protection and Maintenance of Riparian Areas Rules ,> cY
,,:.

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

.,..~."-".,~-,_._,-,..,-,, ".._~-"'-' -'._."'.~--'..".-._._'-"."'-"'- .-,-,..--,.,.- .._.~,. . '-'..".', .,-.. '--"'" ... .-."- .... , ~""._.."~,..--,,......._,,.,.._..,..,.,._.,., ,.~

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

Q 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)

Q Catawba River Basin: Protection and Maintenance of Existing Riparian
Buffers (15A NCAC 028 .0243)

" ,-, j

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

1. Applicant's name (the corporation, individual, etc. who owns the property):
W. HENRY SLOCUMB, JR. and ARTHUR E. COCKRELL

2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: W . HENRY SLOCUMB, JR.
Tille: 1/2 OWNER
Street address: 81 PO INT AVE.
City,State, Zip: BELHAVEN. NC 27810
Telephone: !.121...) 964 - 2401
Fax: L-)

3. Contact person who can answer questions about the proposed project:
Name: ARTHUR E. COCKRELL
Telephone: ~) 793-9028
Fax: ~) 793-9225
Email:

4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
STORAGE BLDNG, SPORTSM'ANS HTnF.A\VAY - r.Or.T<R F.T.T ! ~T OCTTMB LOT

Version 2: November 2002

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.):
ROCKED OR GRASS TO PREVENT EROSION OR DISTURBANCE

4; Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
UNABLE TO UTILIZE DOORS ON EACH END OF BUILDING.

(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
END OF BOAT RAMP 37 FEET FROM PROPERTY.

(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.

NA

Part 3: Deed Restrictions

By your signature inPart 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): N A
Mailing address:
City, State, Zip:
Telephone:
Fax:
Email:

Part 5: Applicant's Certification

Variance Request Form, page 3
Version 2: November 2000

~.

5. Project Location:
Street address:
City, State, Zip:
County:
Latitudenong itude:

SPORTSMAN HIDEAWAY
BELHAVEN, NC 27810
BEAUFORT COUNTY, NORTH CAROLINA

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):
OFF SR 1764 TURN ONTO SPORTSMAN HIDEAWAY RD';. INTERSECTION
OF:c'SPORTSMAN HIDEAWAY RU: :A.ND'-POINT'Av'ENUE
VACANT LOT. 12 MILES SOUTH BELHAVEN,S MILES MORE OR LESS
REACHING PAMLICO BEACH.

7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
TARKLING CREEK
Stream classification [as identified within the Schedule of Classifications 15A NCAC 28
.0315 (Neuse) or .0316 (Ta r-Pam Ii co )]:

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)

x

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 If.]:
SEE ATTACHED

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:
BEST UTILIZATION OF LOT.

Variance Request Form, page 2
Version 2: November 2000

..

I, ARTHUR E. COCKRELL / W. HENRY SLOCUMB, JR..(printortype 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 co structed in conformance with the approved plans and that the
deed restrictions in accordance Ith Part 5 of this form will be recOfded with all required permit
conditions. . .

Signature:
Date:
Title:

\

Variance Request Form, page 4
Version 2: November 2000

NC Division of Water Quality (DWQ)
401 Wetlands Certification Unit
2321 Crabtree Blvd. (LOCATION)
1650 Mail Service Center (MAaING ADDRESS)
Raleigh, NC 27699-1650
[phone] (phone)

~ -~

!j
"
..I!
"
ii
II
ti
ij
I'
'I
I,
'I
IJ
Ii
ii
.Ii'
l'l!
,. ii....
1,11
!f
..... I,i"
II
Ii!
.Ii jj
"
jf
., ,1.1~. --0'
jll
"
I;
..ii'
j'i'
,;
. ,JU..,.,~._,
I"
il!
Ili
II;'.' ..",p M
i
,-. F'

,,~
cf

,.

i:

~.

LJ,"IV1~. )//j'l.l..e
S/;f U'I'} G;(MI2.
.r~.n ('/

'-

-/'

. ,,_.___..,.._J . u.',..""'.'
j

...=~~J .~-~.....M.

r'

. ~
./~

~
~
~
ru
~.

11
Ii
ji
:!
ii
Ii
I'
I!
Ii
Ii
!i
ji
Ii
i;
Ii
II
II
.IJ. .
II
ii
I:
!!
Ii
1:
jj
ii
U.,
"
"
Ii
1i
I'
i!
'-'-- _.'-'.-~- --:. .......,

i;

-,-, I!"., ...
it
-,.,11
........ jj

,l
I
I

ul^/TiL __+~
18 ()-Ie.S,

1t.J. u y' -rtv /5'''FT

;1
~

I 'I!
ID,
t
i

L;' [)
- -,1 '--7
13 r/'f}1:5

-a'T"e.-,
., .'fJJ <F;ttll~

J1t 1'pf.

I OFFICE USE ONLY: Date Received

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

Request #

~jg@~OWrgID

SEP 1 3 Z005

<2
DENR .. WATER QV{\LrTY 0
WETLANDS AND STORMWA1ER BRANCH 0
Variance Request Form - for Minor Variances tJ'7
Protection and Maintenance of Riparian Areas Rules ,> <y
,>

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

..C"'.'._.'"._''' c,o .0"..'"'''' ,.""~,,,_.'.".".'._.'...',.___...'..~_'_'_"_".'.__,_.~_.._o" ...~, . ___..... .~,_c _.,..,.'..." .,,_'.. '0' 0 ','., .,...' ,..'_.....,. . .,.._,c ..... . - .',

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

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

9f Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC 02B .0259)

Q 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.)

1. Applicant's name (the corporation, individual, etc. who owns the property):
~. HENRY SLOCUMB, JR. and ARTHUR E. COCKRELL

2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: W. HENRY SLOCUMB, JR.
Title: 1/2 OWNER
Street address: 81 POI NT AV E .
City,State, Zip: BELHAVEN. NC 27810
Telephone: !1R) 964 - 2401
Fax: L-)

3. Contact person who can answer questions about the proposed project:
Name: ARTHUR E. COCKRELL
Telephone: ~) 793-9028
Fax: ~) 793-9225
Email:

4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications. letters, operation and maintenance agreements, etc.):
STORAGE BLDNG, SPORTSM'ANS HTDF.A\JAY- r.Or.KRF.T.T I ~T O('TTMB lOT

Version 2: November 2002

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.):
ROCKED OR GRASS TO PREVENT EROSION OR DISTURBANCE

4; Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
UNABLE TO UTILIZE DOORS ON EACH END OF BUILDING.

(2) How these difficulties or hardships result from conditions that are unique to.the property
involved.
END OF BOAT RAMP 37 FEET FROM PROPERTY.

(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.

NA

Part 3: Deed Restrictions

By your signature inPart 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): N A
Mailing address:
City, State, Zip:
Telephone:
Fax:
Email:

Part 5: Applicant's Certification

Variance Request Form, page 3
Version 2: November 2000

"

5. Project Location:
Street address:
City, State, Zip:
County:
Latitudellongitude:

SPORTSMAN HIDEAWAY
BELHAVEN, NC 27810
BEAUFORT COUNTY, NORTH CAROLINA

6. Directions to site from nearest major intersection (Also, attach an 8 Y2 x 11 copy of the USGS
topographic map indicating the location of the site):
OFF SR 1764 TURN ONTO SPORTSMAN HIDEAWAY' RD';, INTERSECTION
OF-c'SPORTSMAN HIDEAWAY Rn: ANn"POINT"AJ,1,ENUE
VACANT LOT. 12 MILES SOUTH BELHAVEN,5 MILES MORE OR LESS
REACHING PAMLICO BEACH.

7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
TARKLING CREEK
Stream classification [as identified within the Schedule of Classifications 15A NCAC 28
.0315 (Neuse) or .0316 (Tar-Pamlico)]:

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)

x

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 ff.]:
SEE ATTACHED

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:
BEST UTILIZATION OF LOT.

Variance Request Form, page 2
Version 2: November 2000

-'

I, ARTHUR E. COCKRELL / W. HENRY SLOCUMB, JR-(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 co structed in conformance with the approved plans and that the
deed restrictions in accordance Ith Part 5 of this form will be rec , ded with all required permit
conditions. .

Signature:
Date:
Title:

\

Variance Request Form, page 4
Version 2: November 2000

.'

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)

li

-II
IJ
Ii
ii
ii
iJ
Ii
'I
I!
H
Ii
I!-
I!'

Iii ...
ii
Ii
!i-.-
i!
Ii!
t,j..
!!
I:
Ir-
.li..
j'!
i:
. ~... ...-..~.-. --~.t.L.-..".
II'
il;
lit
i'r~'" -. _h.._U__...._._~_._....~. .-....-,
I:

^'~
cf

. ._,._---~ . -. .-.-.... --

--j

-.--,..- ...---. ..-.----.--. 'I

_, .__'__'''_d__~ _____.

~

LJ,"/V7 ~)J/j'u..e
s-'At- U Y l' ~~MI2..
J~ .ntt!

!:

,.
~ '

'-

l:

../

,. '\0 , "

~
t'
)
nJ i'
~.

i1
ii
I ~
II
II....
Ii,
ii
~ ;
ii
jl
Ii
II
I'
j1
..11 .
Ii
ii
I:
Ii ..
.,
ii
11
111
- .'11'.
I'
Ii
I:
1-1
j!

- -, -"1'1 ~
--' - t~_.
!i
!i
....li'
!i
...... li

I^ IT;L "-h,
. .18()/~S '

.1
I

-.-.....-.."t-

1t.J. U,'-r~ /5'.'"FT

UP
~-'".
J'. I
.. ~
~ 1'3Lfi:tS

lD)

.
i

-ar~
... .- -fJ~<Ftt/T~'.

33t q.Pf- ..... .