20040745 Ver 1_COMPLETE FILE_20040504

Michael F. Easley, Governor

William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources

Alan W. Klimek, P. E. Director
DivisiOn of Water Quality

Coleen H. Sullins, Deputy Director
Division of Water Quality

June 18,2004

DWQ # 04-0745
Pamlico County
Page 1 of 2

Richard G. Weiss
10 18 Rock Creek Lane
New Bern, NC 28562

Subject Property:

Columbia-Boulder, LLC, Lot # 1, Bent Tree"LandingSID, Oriental, NC' .-----..-
Pierce's Creek [03-04-10, 27-133, SA HQW (high quality) NSW (nutrient sensitive)]

APPROVAL for the use of the "General" MAJOR VARIANCE; From the Neuse and Tar-Pamlico
Riparian Buffer Rules for the Construction of Residential Structures on Existing Lots within the Coastal
Counties as defined by the Coastal Area Management Act with ADDITIONAL CONDITIONS

Dear Mr. Weiss:

You have our approval, in accordance with the conditions listed below, to impact approximately 644 square feet
(ft2 ) of Zone 2 of the protected buffers to construct a single family home at the subject property as described
within your variance request dated April 29, 2004 and received by the Division of Water Quality (DWQ) on
May 3, 2004. This letter shall act as your approval for the use of the "General" Major Variance; From the
Neuse and Tar-Pamlico Riparian Buffer Rules for the Construction of Residential Structures on Existing Lots
within the Coastal Counties as defined by the Coastal Area Management Act with ADDITIONAL
CONDITIONS as approved by the Water Quality Committee (WQC) of the Environmental Management
Commission (EMC) on May 10, 2001. In addition, you should get any other required federal, state or local
permits before you proceed with your project including (but not limited to) Sediment and Erosion Control and
CAMA permits. This approval shall expire when the variance expires on April 11 , 2006 unless the variance is
renewed before that time by the EMC.

This approval is only valid for the purpose and design that you described in your variance request. If you
change your project, you must notify us and you may be required to send us a new request for approval. If the
property is sold, the new owner must be given a copy of this approval and is thereby responsible for
complying with all conditions, For this approval to be valid, you must follow the conditions listed below.

Conditions:

1. No Zone 1 Impacts - No impacts (except "exempt" uses as identified within 15A NCAC 2B ,0233)
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. 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 .0233(5).

North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mall Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h20.enr.state.nc.us/ncwetlandsl

Richard G. Weiss
Page 2 of 2
June 18,2004

3. 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/WetIands Unit, North Carolina Division of Water
Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.

4. Protective Fencing - The outside buffer boundary and along the construction corridor within this
boundary approved under this authorization shall be clearly marked with orange warning fencing (or
similar high visibility material) for the areas that have been approved to infringe within the buffer prior
to and during any land disturbing activities to ensure compliance with 15A NCAC 2B .0233.

If you do not accept any of the conditions of this approval or those of the "General" Major Variance, then you may apply
for either a Major or Minor Variance from the Buffer Rules from the N.C. Environmental Management Commission. The
pro"cess'for applYing for'either-ii"MajofoiMiiior Vilifahce is described within I5A NCAC 02B .0233(9}. C()ntactlhe -...~
Wetlands/401 Unit if you decide request either a Major or Minor Variance.

This letter completes the review of the Division of Water Quality under the Neuse River Riparian Buffer Protection Rules
(15A NCAC 2B .0233 (9)(b)). Please call Mr. Bob Zarzecki at 919-733-9726 or Tom Steffens at 252-946-6481 if you
have any questions or require copies of our rules or procedural materials. You may, also, obtain a copy of the Buffer
Rules from our website at http://h20.enr.state.nc.us/admin/rules/rb040103.pdf.

Sincerely,

Attachments: Coastal General Variance
Certificate of Completion

. Klimek, PE,
e tor, DWQ

cc: Deborah Bryant, Mariner Realty, PO Box 750, Oriental, NC 28571
Tom Steffens, DWQ Washington Regional Office
Stephen Lane, DCM Morehead City District Office
File copy
Central Files

DWQ040745
June 18, 2004

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06/18/2004 15:45 FAX [phone]
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Dehorah Bryant, GRI
Office: 800-347-8246
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Honle: 252-249-2479
Fax: [phone]
E-Mail: [e-mail]

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ATTENTION:
FAX NUMBER: arIa, 7 ~ - ~ <21-$

FROM:_Deborah Bryant

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IMPROVBMENT PERMIT

NORTH CUOLT.N-. DePARTMENT OF ENVIRONtlEN'r. tU:I\LTH ~ Nl\TIJR^1. RESOURCf:s
OlVlSr.ON OF EWVIRONRENTAL HEALTH, ON-SITE WAStEWATER SECTION

COUNTY: I~'('o FIN: -r- - 0 -r.: J - 2 -I
RECORO NU BE:R: ~l.D )-'- ~ . "" ---.
OWNER: ~tIt.
OWNER'S 1\0

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suetJIV1S10N~ If..,..," b!~L ;"-:;PHAS;;-- ;.;1"'- LOT; T
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TVPE ot ElfABLJSHMENT
RESUlENCE: ~ YES ( ) ~o Nl,JJlBP;R Of BEDROOMS ..:J
NU"BlR OF OCCillpAHTS: __.!.___DESICH FJ,OW (GPD) ..}Iv
OTHER (DESCRJBE) _~ ____
BASEHtNT PLUK8INC: rrs ( ) NO ()4
TYPE' 01" W~L(,l <>-f PU8L.JC () HELL () OTHE"R
TYPE OY WASTEW^TER SYSTEM, (SiE TABLE V)_____~

INSTALUTrON

DEse11 PT ION

INITlA[.

REPAI ~

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...DEPTI:U2.f:JIi'ENC'H r~.nM Nft.TIJRAJ.. GROUNn,~Itf\Y.E~ IJ'.." 11"'''

CONOlTIONS: .A~_~'~fA~ ~~:A._-~.~,J~_../'L.~_Ifww-. t:..,~
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THIS 'ERMIT SMALL ~~ ACCOMPANIED BY A LAYOUT SHOWN ON A PLAT,
INC~UDINa A SYSTE"S SPEClrICATION SHEET WHICH S"ALL BE AN INTECRAL
PART OF tHIS IKPROVEKENT P!RMIT.

THIS IMPROVE"ENT PERMIT NUST 8E ATTACHED TO A CONSTRUCTION
AUTHORIZATION 8!YORE OBTAINING A BUILDING PER"IT OR OTHER PERMIT
CONSTRUCTION PERKITS AND BEFO.E A WASTEWATER SYSTEM IS INSTALLED.

THIS IMPRovtMENT PERMIT 15 SUBJECT TO REVOCATION IF THE SIft PLANS OR
THE INTENOED USE CHANGE FROM TKOSE SHOWN ON THE IMPRoveMENT PERMIT
CHAHCE. FAOB THE ..OYE .H~LL "Q~I" ~EP.ATB'NT ."OOVOL.

DEHNR IWTKORI2ED AGENTt__VL _~~"_.nA'rr..:_"'J.r"-:-II-I/
NO. OF ~T'I'ACHH~N'l'S:.__~__"Si;l. ".

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P:XHIBIT A
PA~LICO COUNTY HlA~TH DEPARfMENT
SYSTEM LOCATION & DESIGN

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T~iage Check List

Date: G) / '-f [ v 'l
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Project Name:

LNe. \),3 f Loi #- () _e'0^t rt!e LPtv~
DWQ#: 10407 4 5
County:Y<""'^- J /c ~

To:

o ARO
o FRO
o MRO
o RRO.
Bd0

Mike Parker

Ken A ventte
Alan Johnson
Steve Mitchell .

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o WiRO
o WSRO

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Noelle Lutheran
Daryl Lamb

From:

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Telepho;ne : (919)

The me attached is being forwarded to:~.~ur for yoUr evaluation.
. Please call if you need8$~~tance. . .

. . \

o S~am length impacted ,.
o Stream determination .
D W~t1and determination and'distance to blue-line sUrface waters on .uSFW topo maps
. 0 Minimi7.stlonlavoidance issues
. . ~uffer Rul~~cN~~;:?rar-pam1iCO, Catawba, Randleman)
o Pond fill . ~,-- ..
D Mitigatio~ Ratios
D Ditcbbtg' .
D.' Are the stream and or wetland mitigation sites available and viable?
D . Check drawings for accuracy , .
//~ the application consistent with pre-application meetings?' "
. 0 Q.unulative impact concern

Comments:

05/03/2004 14:21 FAX [phone]

Mariner Realty

~001

WETLANDS /401 GROUP

MAY :3 IrJD4

WATER QUALITY SECTION

DATE

S~3 .()4

Deborah Bryant, GRI
Offi(e: 800-347-8246
Office: 252-249..1014
Home: 252-249-2479
Fax: [phone]
E-Mail: [e-mail]

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TELEFAX T~SMIT~
To:__fuL'~~

AT'IENTION:

F~ NU1\mER:

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'133 ~ ~qsc:L

FROM:_Deborah Bryant

Number of paleSt including cover sheet:

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Fax Response To: [phone]

COIdMENTS:
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Post 01'flce Box 750 .. Oriental. North Carolina 28571 · (252) 249~1014
www.orlentalncwaterfront.eom
8QO..347-8246

05/03/2004 14:21 FAX [phone]

Mariner Realty

141 UU2

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Sales · Property Management. Appraisals. Development

May 3, 2004

T om Steffens
I:ivision of Water Quality
9!~3 Washington Square Mall
Washington, NC 27889

O. Ii f'l. .. ~ 11. h,
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Dear Tom,

E1.closed please find the above referenced Variance Request for Lot 1. Bent Tree
Lmding Subdivision. Tbis form has been. signed and dated by the current owner,
R~chard Weiss. Also enclosed, an in-depth survey of this lot showing the location of the
intended home and septic, the septic permit and subdivision plat showing this lot. A
minor variance with no mitigation should not be a problem since this subdivision was
re:orded in 1989.

This lot is past the closing date and I would appreciate your attention to this variance as
ql..ickly as possible.

TItanic you for your time and consideration. IfI can be of further assistance, please call
m~ at 252-249-1014.

S i 'Jcerely,

C;~~

D.~bora.h Bryant
Mariner Realty. Inc.

en::.3

e ~t8d oil .QCVCled ~-

Post OffIce Box 750 · Oriental, North Carolina 28611 · [phone]
www.orlentalncwaterfront.com
800-341--8246

05/03/2004 14:21 FAX [phone]

Mariner Realty

~003

l'FIC~ USE ~~L Y: Date Received

State of North Garollna
Department of environment and Natul1Il R..ources
DlvIs/on of Wa:er Quality

Request #

Varla"~ce Request Form - for Minor Variances
Protectloll and Maintenance of Riparian Areas Rules

04074f;

NOT~: This brm may be photocopied for use as an original.

.......,,,.II'NNI;'lq/jIllII "/,Hh"/H""~,;,q#M"H';""H/'/'/h'/hh''''''/.IHf'''~/'N/.WIU#M'.I''NN'''''~~U~Vq"",,..,..II''''''.M''M'H''AI.I'.M'M''~'''''rolfiiIRU''MrM=~~

Please idl~ntify which Riparian Area (Buffer) Protection Rule applies.

tJ Neuse River Basin: Nutrient Sensitive Waters Management Strategy Protection and
Malntenanee of Riparian Areas Rule (15A NCAC 02B ,0233)

o Tar..Pamllco River Basin: Nutrient Sensitive Waters Management Strategy
NCAC 028 .0259)

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

td/J''''1vr T. M~ IsI1I(fMWlWlUIlUUl_Illl'MI'tl"l"V~'/AlH.w'NV"""'/'/'/'/'/'N/NHlHg"",",N~M'jW;:IR"'W~MV.M'",,",.M'NMMI"M'~~~'N~

Part 1: GI~nerallnformation
(Please inclwfflsttPJchmrtnts if the room provided is insufficient.)

1. Appllcan' 's name (the corporation, individual, etc. who owns the property):
Richard G. Weiss
2. Print Ow ,erlSlgnlng otl'lclal (person legally responsible for the property and its compliance)
Name: Richa'rd' G. Weiss
Title:
Street address:
City, Stale, Zip:
Telephof.e:
Fax:

1018 Rock Creek Lane
New Bern, NC 28562
( 252 )635.3140 )
L~*_)

3. 'Contact person who can answer Questions about the proposed project:
Name: Deborah Bryant
Telephore: ug,,1249.1014
Fax: ( 252) 249-2700
Email: DebbrY~[e-mail]

Vefllon 2: November 2002

05/03/2004 14:21 FAX [phone]

Mariner Realty

~004

4. Project l~ame (Subdivision, facility, or establishment name - consistent with project name on plans,
specifjc~ltions, letters, operation and maintenance agreements, etc.):
Proposftd house for Columbia-Boulder, LLC

.5. Project L.ocatlon:
Street address: Lot #1, Bent Tree Landing Road
City, State, Zip: Oriental, NC 28571
County: Pamllc;o
Latltudeilongltude: 35003' 01" N/76" 41' 07" W

6. Olrectlor s to site from nearest major intersection (Also, attach an 8 % x 11 copy of the USGS topographic map
Indlcatln'J the location of the site): ~
~OI~G e~5'1' ~~ \Ivy. 55" ..ew~A.() o..\tN~L.-'t"'la> t.Jr.F'T ol'fTa ~1.1f1' (M~ores Corner). Bent Tree
La"cJi"~ is the first right after White Farm Road

Stream t:> be impacted by the proposed activity:
Streilm name (for unnamed streams label as .ur" to the nearest named stream):
Plerc;Q'!1 Creek

Stream classification [as Identified within the Schedule of Classifications 15A NCAC 28.0315 (Neuse) or .0316
(Tar-Panilico)]: _.SC

7. Which of the fOllowing permits/approvals will be required or have been received already for this project?

Requirec :
NO
NO
NO
yes
NO
NO
NO
NO

Received:

Date received:

Permit Type:
CAMA Major
CAMA Minor
401 Certlflcatlon/404 Permit
On-site Wastewater Permit
NPDES Permit (Including stormwater)
Non-disoharge Permit
Water Supply Watershed Variance
Others (specify)

x
----

3.16.()4

Pan 2: Pr oposed Activity
(Please Inc,'ude attachments If the room provided is insufficient.)

8. Oescriptil)n of proposed activity (Also, please attach a map of sufficient detail (such as a plat map or site plan) to
accurate! 'I delineate the boundaries of the land to be utilized In carrying out the activity, the location and
dlmenslo, of any dlstumance itl.the nparian.buffers,associated with the activity, and the extent of riparian
buffers 011 the land. Include the are. of buffer impact in If.):
Construction of a single-family home by
Impact I~ 644 sq. ft.

9. State reasons why this plan for the proposed activity cannot be practically accomplished, reduced or
reconflgu'ed to bettar minimize or eliminate disturbance to the riparian buffers:
The plac ~ment of the house Is restricted due to the site of the septic system and driveway and marsh on
one side and thi front of the lot, see attached survey

10. Descrtptl(In of any best management p~ctices to be used to control impacts associated with the proposed
activity (i.e., control of runoff from Impervious surfaces to provide dlffuge flow, ra-planting vegetation or
enhancenent of existing vegetation, etc.):
Both rep antlng and enhancement of existing vegetation, i.e., adding hardwoods and Wax Myrtles after
construe tlon.

Varlftnoe Request Fonn, page 2
Version 2: November 2000

05/03/2004 14:21 FAX [phone]

JIlarlner Kea.lt:y

~UU;)

J ' ..... to

(1)' he practical difficulties or hardships that would result from the strict application of this Rule.
The location of this house can not be mO\fed due to the placement of the septic system and
drIVl;Jway.

(2) How these difficulties or hardships result from conditions that are unique to the property involved.
Coa~~al vegitation has grown into the building site.
Site Is severely impacted by the buffer rule..

(3) If eccnomlc 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.

The aconomic hardship IS considerable. If a variance Is not granted the lot would be
Con';idered un-buildable for size house required.

Part 3: D.eed Restrictions

By your s,ign3ture in Part 5JJf this application, you. certify that all structural stormwater best managsmentplClctices
required by his variance shall be located In recorded stormwater easements, that the easements will run with the
land, that thf, easements cannot be changed or deleted without concurrence from the State. and that the easements
will be recorlied prior to the sale of any lot.

Part 4: A'~ent Authorization

If you wish t(1 designate submittal authority to another individual or firm so that they may provide information on your
behalf, please complete this section:

Designated (Igent {Individual or firm}: Deborah Bryant, Mariner Realty
Mailing addn~ss: PO Box 750
City, State, Lip: Oriental, NC 28571
Telephone: [phone]
fax: [phone]
Emall: [e-mail]

Part 5: Applicant's Certificate Richard G. Weiss (print or type name of person listed in Part I. Item 2),
certify that tl'1elnformatlon Included on this permit application form Is correct, that the project will be constructed In
conformance with the approved pia s and that the deed restrictions in accordance with Part 5 of this form will be
recorded with all ~uired permi c: ditions.

~~~~ture: ~-iOi:/ ...... ---------- --
Title: ~I,J)P($ ~'

Varhmce R.quest Form, page 3
Ven:lon 2: November 2000

141 006

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AN AUT'HORIZATION TO CONSTRUCT MUST BE OBTAINED AND
ALL FEES PAID PRIOR TO WASTEWATER ~YSTE:M INSTALLATION.
...
THE PAMLlCO CO. HEAL. TH DEPARTMENT RESERVES THE RIGHT
TO R~I<E THIS PERMIT IF THE SITE IS ALTERED, INTENDED
USE CHANGED, OR ANY INFORMATION IS FALSIF'IED.

ANY CHANGeS 'to THIS PERMIT \MLL REQUI~E A REOESIGN
PERMIT AND SUBSEQUENT FEE.

Authorized Agent:

1?1.i~ ~ e'5

Date 3/16/2004

05/03/2004 14:22 FAX [phone]
.Maptecn MapServet

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.::;; SURVEY FOR =-

COLUMBIA-BOULDER. LLC
LOTS 1 Ie 2
BENT TREE LANDING

NUMBER 5 TOWNSHIP
PAMUCO COUN'l'Y
NORTH CAROLINA
SURVEYED: MARCH 4, 2004
SCALE 1" ::: 100'

Kendall E. Gas~!!1..!L.._PLS
PROFESSIOIfAL L.UrD SUnYliYItlG
8162 1.4J11" StrHt
P.O. 1100 3&4
\/on"'OI'O. HC 286815
VOtlceboro: ~:52-Z++-o:lI19
Greenllltl., 2:52-353-1:5150

05/03/2004 14:23 FAX [phone]

MarIner Realty

A~EA SUMMARY
LOT 1 - 87,.339.230 SQ. FT.
1.546 ACRES
LOT 2 - 49,028.261 SQ. FT,
1.126 ACRES

LEGEND
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II lJoSTtIO 1_
.. In IIlCH _
0< "- /'OIL
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HOlE .
IW4 sa. FT. C# PIl~ HOU!IE
IN ZONE Z.

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Io-FOOT IAIUIOHT ~ ROAD IlKlHT OF WAY
!$-fOOT E.UIloI iIlT ~ED ilIIOUT AU. LOT UIIES

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THIS PA~ I; l,Oo:AfID __
. $P(QAl. FLoor. HAl AltD MEA
(ZONi AS, IR- La') "Ell ,.fIII
MAP 3?o271-oo128. )AlEI)
DECDIIElt .. 1.15.

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REIIIHD AI'!IIL 22, 20004 _ HOUSE AND SPrnc.

I. Ken.jall E. Gaskins, hereby certify
that t ,is map was drown under my
directi In 1nd supervision from on actual
survey m(lde under my direction and
super\isioll, that the error of closure
os cal::ulcted by latitudes and departures
is 1 : 10, JOO.

Wihes!; my hand and seal
221ld (ay of APRil. 200

~~~

Kendall E. Cask ns, PlS

raJ009

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VICINITY SKETCH
NOT TO SCALE

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LENGTH
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CURV,," LENGTH RADIUS
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REFERENCES
PC A SUDE 44-~
PC A SUDE 86-2
PC II SUDE 86-3
DEED BOOK .316 PAGE JJ+

() qrJ7'1S-
RECEIVED

t1/W -- 4 2004

DWQ-WARO
lB

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Sales" Property Management · Appraisals" Development

May 3, 2004

WETLANDS /401 GROUP

\i!

Tom Steffens
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889

!Ii

WAil:R ()UAUTY SECTION

Dear Tom,

l'i7CztJr ~
.~ V\)/ 0"'\')
~/~Jl

Enclosed please find the above referenced Varian
Landing Subdivision. This form has been signed h
Richard Weiss, Also enclosed, an in-depth survey c
intended home and septic, the septic permit and subd
minor variance with no mitigation should not be a pn.
recorded in 1989,

1 of the
A

was

This lot is past the closing date and I would apprecim
quickly as possible.

Ilce as

Thank you for your time and consideration, If I can 1
me at 252-249-1014,

e call

Sincerely,

q~;'(.L"

Deborah Bryant
Mariner Realty, Inc,

enc.3

* Printed on recycled paper

Post Office Box 750 · Oriental, North Carolina 28571 · [phone]
www.orientalncwaterfront.com
800-347-8246

o LfD7'-1S-

OFFICE USE ONLY: Date Received

Request #

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

RECEIVED
Variance Request Form - for Minor Variances MAY - 4 2004

Protection and Maintenance of Riparian Areas Rules

DWQ-WARO

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

/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/'/1/1/1/1/1/1/1/1/'/'/'/1/1/1/'/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/'/1/1/1/1/1/1/1/'/1/1/1/1/1/1/1/1/1/'/'/1/1/1/1/1/,/,/,/,/,/,/,/,/~

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)

o Tar-Pamlico River Basin: Nutrient Sensitive Waters Management Strategy
NCAC 02B .0259)

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

~/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/,/1/1/1/1/1/'/'/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/1/'/'/1/'/'/'/1/1/1/'/1/1/'/1/1/1/1/1/1/1/1/1/1/1/'/'/,/,/,/,/,/,/,/,/~

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):
Richard G. Weiss
2. Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: Richard G. Weiss
Title:
Street address:
City, State. Zip:
Telephone:
Fax:

-~
1018 Rock Creek Lane
New Bern, NC 28562
(2_~~_ )6353140 )
( -~- )

3. Contact person who can answer questions about the proposed project:
Name: Deborah Bryant
Telephone: L~~~_J249-1014
Fax: C2~2) 249-2700
Email: DebbrY.H1IC{iJAOL.Corn

Version 2: November 2002

4. Project Name (Subdivision, facility, or establishment name - consistent with project name on plans,
specifications. letters. operation and maintenance agreements, etc,):
Proposed house for Columbia-Boulder, LLC

5. Project Location:
Street address: Lot #1, Bent Tree Landing Road
City. State. Zip: Oriental. NC 28571
County: Pamlico
Latitude/longitude: 35" 03' 01" N/76" 41' 07" W

6. Directions to site from nearest major intersection (Also. attach an 8 Y:z x 11 copy of the USGS topographic map
indicating the location of the site): ~
"OI~G €A-s-ro""' "lUy, 55' ...JeWA-R..O OR.\eN~L-il\.({~ LEfT ofI\To srRfll~H"" (M~ores Corner). Bent Tree
Landing is the first right after White Farm Road

Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
Pierce's Creek

Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B .0315 (Neuse) or ,0316
(Tar-Pamlico)]: SC

7, Which of the following permits/approvals will be required or have been received already for this project?

Required: Received:
NO
NO
NO
yes X
NO
NO
NO
NO

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)

3-16-04

Part 2: Proposed Activity
(Please include attachments if the room provided is insufficient.)

8. 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.]:
Construction of a single-family home by
impact Is 644 sq. ft.

9. 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 placement of the house is restricted due to the site of the septic system and driveway and marsh on
one side and the front of the lot, see attached survey

10. 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.):
Both replanting and enhancement of existing vegetation, i.e., adding hardwoods and Wax Myrtles after
construction.

Variance Request Form, page 2
Version 2: November 2000

(1) The practical difficulties or hardships that would result from the strict application of this Rule.
The location of this house can not be moved due to the placement of the septic system and
driveway,

(2) How these difficulties or hardships result from conditions that are unique to the property involved.
Coatal vegitation has grown into the building site.
Site is severely impacted by the buffer rules.

(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.

The economic hardship is considerable. If a variance is not granted the lot would be
Considered un-buildable for size house required.

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): Deborah Bryant. Mariner Realty
Mailing address: PO Box 750
City, State, Zip: Oriental, NC 28571
Telephone: [phone]
fax: [phone]

Email: [e-mail]

Part 5: Applicant's Certificate Richard G. Weiss (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 re~uired p~r~i crditions.

Signature: ~r;!41JJt/1.. _.
Date: tj-?-'1:.-oLj
Title: OWN~

Variance Request Form, page 3
Version 2: November 2000

PAMLICO COUNTY HEALTH DEPARTMENT
P.O. BOX 306"
BAYBORO, N.C. 28515"".'-
IMPROVEMENT PER
_...'~'.},';:',i"
Owner:MARINER REAL TV CIO DEBORAtI BRYA
Owner Address: PO BOX 750 . "';"'"
Owner Address(2):ORIENTAL NC 2857
Owner Phone #:[phone] rj~~lf
Property Address: BENT TREE LANDING SID LOT l'
Property Address(2):ORIENTAL NC 28571
PIN:J083-2-1
Record #N/A
Establishment Type: Home
Type ofWell:Public Well
Design Flow (GPD):360

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I'V'"Y"Y'V)V'V V y vi

1:720

,':('j
AN AUTHORIZATION TO CONSTRUCT MUST BE OBTAINED AND
ALL FEES PAID PRIOR TO WASTEWATER SYSTEM INSTALLATION,
ifF
THE PAMLlCO CO. HEALTH DEPARTMENT RESERVES THE RIGHT
TO REVOKE THIS PERMIT IF THE SITE IS ALTERED, INTENDED
USE CHANGED, OR ANY INFORMATION IS FALSIFIED.

ANY CHANGES TO THIS PERMIT WILL REaUIRE A REDESIGN
PERMIT AND SUBSE~UENT FEE.

Authorized Agent:

1'YIA~ a..J.w- e.5

Date 3/16/2004

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