20091004 Ver 1_Minor Variance_20090918

0g 00 4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
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:
C1Major Variance
R Minor Variance
`Ep LU
u
2009
VIETLRh0S AND STORldWATER BRANCH
ViETLANDENR 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
hgp://h2o.enr.state.nc.us/admin/mal)s/.)
rJ( 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.)
1. Applicant's name (the corporation, individual, etc, who owns the property):
Deborah & Chervl Leonard
2. Print owner/Signing official (person legally responsible for the property and its compliance)
Name: Deborah Leonard
Title: Owner ----_ __.` -----------__---
Street address: 4251 Geo_rc etown Drive??.____-_`?_?
City, State, Zip: W i t s o n, N C _2 7 8 9 6
Telephone: { 2 5 2) 2 3 0 - 0 8 2 7
Fax: L252_234-9327
--
3. Contact person who can answer questions about the proposed project:
Version 6: Julv 2009
_
Name: Donald M. Perry,-PE
Telephone: US-2-)291-8887 Fax: [phone]
Email: dDerrv@herring_-_sutton_ c_om
4. Project name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Leonard Property - Georgetown Drive _
5. Project location:
Street address: 4?1 Georgetown Drive
City, State, Zip: Wilson. NC 2 7 8-9-E County: Wilson
Latitude/longitude: 3 5 ° 46, 4 2 4f__N_ __7.7 ° ' ? --
6. Date property was purchased: __ 0 6 - 9 6
7. Directions to site from nearest major intersection (Attach an 8 %2 x 11 copy of the USGS
topographic map indicating the location of the site).
From Int. of Airport Blvd. _& NC Hwy_ 58 - take 58 N to Georgetown
Drive - Right on Georgetown Drive., House is on T,Lnff- side of
street.
Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
UT to Toisnot Swamp Tributary
9. Which of the following permits/approvals will be required or have been received already for this
project?
Required: Received: Date received
Part 2: Proposed Activity
(Please include attachments 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 (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 ft2.:
Home Addition - see map
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)
Variance Request Form, page 2
Version 6 July 2009
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 0 3
Zone 2 130 1 Home add 1.5 19
Total 130 19 5
*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:
The proposed addition is located in the most ractical location
in order to make reasonable u of addit1o1-
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.):
Planting of 3 trees
Splash Guard @ Exit Point of roof gutter on east side -to_
ensure non-co n?etrated floret
Make use of proposed walk on west side of struc ure-to p-revent
concentrated flow
5. Please provide an explanation of the following:
(1) The practical difficulties or hardships that would result from the strict application of this Rule.
The owner would not be able to add a needed additi-on -to-their
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.
The home was built in a location Qn the property that
does not allow for the Neuse Buffer. Once the Neuse_B_u_f_fer
was in place the rp operty became limited--
Variance Request Form, page 3
Version 6 July 2009
(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
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.
Concrete gutter siolashoad
Concrete Walk
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 BMPnitrogen6 Final Final
basin drainage nitrogen 6 loading removal nitrogen6 nitrogen6
basin rate without BMTV efficiency' loading rate loading
(ac) (lbs/ac/yr) Me) (lbs/ac/yr) from
drainage
basin bs
1 0.00382 21.2 0 21.2 0.08098
2 0.00791 21.2 0 21-2 0-16761
3
4
5
Totals ---- _?_
4 Attach calculations and references.
' 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 6 July 2009
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: http://www.neeep.net/news/reports/buffers.r)df
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 6 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
1, f s3 y goz ' , (print or type name of person listed in
Part I, Item 2), certify that th 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:
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 6 July 2009
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)
it • 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)
_r
p?,
pull • Three copies of plans and specifications, including:
0
Development/Project name
0 Engineer and firm
r-1 0 Legend and north arrow
0 Scale 0" = 50' is preferred)
N 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
_?}9 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
-.may 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 6 July 2009
HERRING-SUTTON & ASSOCIATES, P.A.
2201 NASH ST. NW
WILSON, NORTH CAROLINA 27896
[phone]
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A P K NAIL • EXIST. IRON HAZARD ZONE
30' 15' 0 30' 60' • RAILROAD SPIKE ¦ CONCRETE MON.
SURVEY FOR
TOMMY DAVIS
PROPERTY OF
DEBORAH LEONARD

4251 GEORGETOWN DRIVE

LOT NO. 12 BLOCK N0. SECTION NO. 1
CLUB TERRACE SUBDIVISION

CITY OF WILSON, WILSON COUNTY
NC
,
RECORDED IN DEED BOOK 1525 PAGE NO. 451
RECORDED IN PLAT BOOK 21 PAGE NO. 221
SCALE: 1" =30' DATE: 6-29-09 ORDER 09-107

Herring -Sutton & Associates, P.A.
ENGINEERS SURVEYORS PLANNERS
1
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NOTE:
NO WETLANDS ARE LOCATED ON THIS PROPERTY.
THIS PROPERTY IS OUTSIDE OF ANY FLOOD HAZARD AREA.
3 NEWLY PLANTED TREES
FROM NCDENR'S APPROVED LIST.
10.07'
N 57'43'39" E
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SURVEY FOR
TOMMY DAVIS
8WA ROCKY MOUNT 15' QUADRAN&Z PROPERTY OF
N3545-W7752.5/7.5.. DEBORAH LEONARD
I997 4251 GEORGETOWN DRIVE
AMS 5455 IV 3W-sSxtEB vaa2 CITY OF WILSON. WILSON COUNTY, NC
Herring-Sutton & Associates, P.A.
ENGINEERS SURVEYORS PLANNERS
\PLOTLDDT\09-107\dwg\09-107OUAD.dwg 9/17/2009 9:27:39 AM EDT 2201 NASH ST NW WILSON, N.C. 27896 TEL. [phone]

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Herring-Sutton & Associates, P.A.
ENGINEERS SURVEYORS PLANNERS
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SURVEY FOR
TOMMY DAVIS
PROPERTY OF
SHEET NUMBER 1 DEBORAH LEONARD
WILSON COUNTY, NORTH,-CAROLINA 4251 GEORGETOWN DRIVE
CITY OF WILSON, WILSON COUNTY, NC

Leonard Property-4251 Georgetown Drive
The runoff for the addition is to be handled via a gutter on both the east and west side
of the addition. The ridge line of the addition will be in a North/South direction. The
gutter is to release the runoff at or near ground level onto a concrete splash pad on the
east side of the addition. The concrete splash pad will be installed somewhat into the
earthen ground so that it is permanent. The gutter will release the runoff from the west
side of the addition onto the concrete sidewalk outside of the buffered area. The sidewalk
will serve as a level spreader for the very minute amount runoff from the west side of this
addition.
The maintenance will consist of the owner inspecting the splash pad and sidewalk to
make sure there is neither compromise of structural integrity nor degradation of its
adjacent earthen material on a monthly basis and after each rainfall event of 1" or more of
rain. If there is structural problems, the item should be repaired by replacement or re-
pouring the concrete. If there is any degradation of the earthen material, the area should
be sodded immediately. Additionally, the three newly planted trees on the NCDENR's
list will be monitored for 5 years. If the tree dies, the tree should be replaced
immediately.
(Page 1 of 2)
RETURN
This Deed was prTrsd by Charles P. Farris, Jr., Attorney
NORTH CAROLINA ??l
WILSON COUNTY
This Deed ves made and entered Into this 20th day of June, 1994, by and
between JAUS A. RICKS and wife, JAM H. NICKS, of Wilson County, North
Carolina, GRANTORS, and CHERYL. MAY LEONARD and DEBROAN LYNN LEONARD, of Wilson
County, North Carolina, -Grantees, whose mailing address is 4251 Georgetown
Drive, Wilson, NC 27893.
V I T H E S S E T H:
That the Grantors, for and in consideration of the sum of Ten Dollars
($10.00) and other valuable consideration to the GRANTORS paid by the
Grantees, the receipt of which is hereby acknowledged, have and by these
presents do grant, bargain, sell and convey to the Grantees in fee simple,
all that certain lot or parcel of land situated in City of Wilson, Wilson
Township, Wilson County, North Carolina, and more particularly described
as follows:
BEING all of Lot 12 as shown on the map of Section One, Club Terrace
recorded in Plat Book 21, Page 221 of the Wilson County Registry and reference
1 is hereby made to said map for a more particular description. This being a
portion of the property conveyed to Raven Ridge Developers, Inc. by deed of J.
C. Nowcombe and wife recorded in book 1387. Page 48, Wilson County Registry.
Sea also deed dated January 20, 1994 by Raven Ridge Developers, Inc, at al to
James A. Nicks recorded in book 1514, Page 382, Wilson County Registry.
TO HAVE AND TO HOLD, the said lot or parcel of land and all privileges
and appurtenances thereto belonging to the Grantees.
BUT, NEVERTHELESS, expressly subject to those Restrictive Covenants
recorded in gook 1402, Page 530, Wilson County Registry and those easements
and permits of record.
And the Grantors covenant with the Grantees, that the Grantors are
seized of the premises in fee simple, have the right to convey the same in fee
simple, that title is marketable and free and clear of all encumbrances
except as set forth above, and that the Grantors will warrant and defend the
title against the lawful claims of all persons whomsoever.
IN WITNESS WHEPEOP, the Grantors hays set their hands and seals, the day
and year first above written.
(SEAL)
6 A.
en.soN eouhTY ee-37-94 , (SEAL)
Jiff H. KS
STATE OF
?f ?LI14A Real Estate
19 Excise Tax
Bta 1525ME 451
Book:1525,Page:451
BOOK 1525PAGE 452
NORTH CAROLINA
WILSON COMM
I, a Notary. Public, do hereby certify that JAMES A. HICKS and wife,
JANET H. HICKS, personally appeared before se and acknowledged the due
execution of the foregoing dead of conveyance.
`S)i6ess_•rsy hand and notarial sea thisr.2 ?day o June, 1994.
:`.? A •s?k 747j
-
Rotary Publid
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NORTH CAROLINA, Wasorr Couwv
The fore`oins certifkate(s) of ........ - -----l?Y?! ?r 1?i1.1 !s U M>Z - -
and ......n
raonandrecorded
Notary(ies)Pebiicis(are) [fled tobe ?Thisinatreaa)?,? rapresented for ist N
Paso= . Thia f.?l? day of .--
effke in
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??. A D. A o'clock TM. ?` +
By
Resist rr s(Derls, Wibae Cwah fGltusr y Drn4

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Book:1525,Page:451