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Home My WebLink About51565_ZIPF, ROBERT_20071005❑CAMA / ❑ DREDGE & FILL /1- 6-7 / GENERAL PERMIT Previous permit #/ ❑New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural R ources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attache Applicant Name 'k — Address City State ZIP , Phone # ( ) % %Fax # ( ) / Authorized Agent Affected ❑ CW Q EW C PTA ES ElPTS AEC(s): ElOEA ElHHF ❑ IH ElUBA ❑ N/A ❑ PWS: ElFC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision d. City ZIP Phone # (i_) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body i." IME-i MUfffliffiK■■ ■mI■!■1mmummll■■■iaj ME i■il■■■■■■■■■■■■■■ ■■■■Ira■■■■wrr■rrr�woo - - ■■■G�■!1[1■■lam [lid■■■■■■■■■■■■■■■�i[1�:(■■ [�I■i1■ M. ■■®w�■■�tl�C�1Ll■■ft■!r�lT/f�■■■■■■■■■■u■u�■■■Qii[a■1■■u MA- MEN■■■■■■�'::�� ■■■■■MINI ■■■�: EM. ■wry...■..■■■■....■....■■........■......■ MOMM■■1■O■■■■■■ MEMEMINNI ro ■■EME MEN� ■■■■■!OC!�=,, ■■i■■■■■■■■■■■■11111'11�"wl ■I■■ SIN■ ■■■■RP-M■1■ ■■ ■■fJl�■1■■'�■■■■■■!J■1■�i■■iill■■ Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" l -Y Application Fee(s) Check# Permit Officer's Signature ' _ r f Issuing Date Expiration Date Local Plan ningjurisdiction Rover File Name Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 FROM : P.E.ZIPF,M.D.,P.A. FAX NO. : 9103263053 Oct. 03 2007 09:06AM P1 A-WACENT RIPARIAN ]PROPERTY OWNER STATFMEN'T I Hereby certify that I own property adjacent tcyC—L!� propel ty locat4d at -Re F, (Name of property Owner) (Lot, l;;lock, Road, etc.) oni G P C1.5 /�, in 1 S cry _ (Wate�rbody) (Town aid! ouoty"�" I'J''- Hi: has described to we as shown below, the development be is proposing at that location, and, I have no objections to his proposal. DESCRIMON AND/OR DRAVLN G OF PROPOSED DE"ELIDp ENN'C (To die f fkd in by A%*vid ar rrX propmhW development) woj o't- �LP� . �CZ7_,el Signature 676 I'ri or Type Name E pia- 3ziL VM/-Z/ - Telephone Number Date: 2 L4- — K5- ' IMPORTANT MESSAGE FOR DATE M TIME A.M. P. M . OF PHONE AREA CODE NUMBER EXTENSION ❑ FAX ❑ MOBILE AREA CODE NUMBEP. TIME TO CALL TELEPHONED PLEASE MESSAGE k SIGNED CALL CAME TO SEE Y01.4 - WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL � SPECIAL ATTENTION FORM 3002P MADE IN U.S.A. )a t i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT q 1�v I hereby certify that I own property adjacent to �� !I �� _ � 'A"'s (Name of Property Owner) property located at Ieq / 5 a l /�Cr a1 o r�l /eil�r le " �/�/G 7 �� (Lot, Block, Road, etc.) on O 0 S �� ( , in Gil lC �' , N.C. (Waterbody) (Town and/ ounty) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) 112 Ok'C��sa�� tcprtGi� r,),(Ad,tav V oQ 'a P ro m l/0 a 12 CY clea vl cr a / / Signature r Na d d lrxo L Print or Type Name AUG 2 0 2007 M'Orehead City p,, Telephone Number Date:_ Z G> > G1�n I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to /;?v � e - / zt- ":F-l/) C 's (Name of Property Owner) property located at �a ! ,1 1 Ji 5� z l Ce /4/° A t (Lot, Block, Road, etc.) /r on2 , , �N.C. (Waterbody) (Town and/orto.unty He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) FSI /, � 0. d lq �ado� I CZJhKJ GY G1 Gi G 1Y� /r y �S = �oC�C��✓ a 4X a c� �� 4Q .#t ii ;� J Si' ture ONCE, za AUG 2 0 Z007 111041heaq Gary DCM Print or Type Name Telephone Number Date: O 3�0 — G 7 h KUIII - K. I•. —,I IN-1. , I' I. v. , Fr. It. IN I I.T. PIU. UOL. U! fIUU ! UlI - IIIh'PI 1.1 I hereby certify that I awn property adjacent to v � e !t —/-, 'e� -'s (Name of Property Owntr) 24 Property located at r 1L.1 y (Lot, Block, Road, etc.) on (V4'AWrbaaq) ��id"VWl�4�Iouo�t'4r?� ila hen dumibed to ror Ai shrram hi �ittlilr, iI,110 ibY{�14S� 014e is proposing at that 100.1h an, an(L I la„u a� abjaehasa to fiir, propow. li.n.,.��r.ror■■`.Y'Mr--- — ---- ..ter —_....,-------- Il llrrr��r■� DESCRIPTION ANDIUit D AWING OF Pllt3poMt) lid (T'o ba�Qe� ib bj, }ndividrm7prr�v►si�g devlet OCT 2 2007 ;i l ........ .......� (Y x k a orehead City DCM I� ' � I I r■■rrrrrrrrrrrr�nm-rr7trr--_--_--'__"'_____.�.�..._--------------------- •. ..,..._...,._ _.u,..,....�,.�...,.. „ G" rA LI — i� tune ;�"'4 1 ` P Z.J ory Print or Type Name 4-S 44,116( FROM R. E. ZIPF, M. D. , P. A. FAX NO. : 9103263053 Oct. 02 2007 04: 24PM P2 ADJACENT PJPARIAN PROPERTY OWNFR STATEMENT -7 I hct�dby ecr2ify that I own property adjaeaat to _ A, cn '� e ., ,�" ig�n �.6-� Xrs properiy lucaia;d at 2e 5~ (N2mc of Pmgarty Ovmar) �1�4 rl O (Lot, BImI4 Road, etc.) E �f Gou .S A,, in- '- S L C ?ice' , N'C. (Waterbody) (Towle andl ounty He has described to me as shown below, the development he is proposing at that location, ATId, 1 havx. nn nkratinnn to his pmrnsm I v /Z o ............... 1ASiCRI' ''1 ON AND/uDRAWING DRAVY'G or FILUFUShD DEV Ej,.raPMENT eT- Lc f u.;j L. Lr ..xraall .jI—yr � off "P""C 4 "aiU��d��Is'cc(cP �l�g'G1� j O C T 2 2007 / L �?40(-01 a r/ 1'0 Pli /o Morehead City DCM e)Noll �gaature Pant nr Tpe, Name � Telephone Nwnber _ . m ROBERT E ZIPF JR 120 Newby Ct 252-443-0212 Rocky Mount, NC 27804 a .ir 1004 Q i +/fC)�7BRANCH 66-16 (/ 53053002 D Pay to the Order of nol �... WACHovra Wach is Bank, N.A. wac om„ � py j/'/ G M, a.c g6n■ 4 mein LOLL6�L5 100 ea053LOL 26.