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HomeMy WebLinkAbout20010823 Ver 1_COMPLETE FILE_200105200? W AT , R, ?O G? _r Cl) Michael F. Easley Governor William G. Ross, Jr., Secretary Department of Environment and Natural Resources Kerr T. Stevens Division of Water Quality July 2, 2001 Page 1 of 2 DWQ # 01-082. Wilson Count- Johnsie R. Markham 2305 Kelly Place Wilson, NC 27896 Cc: RR Herring & Associates, Inc. Attn: Mr. Donald M. Perry, P.E. 2406 West Nash Street Wilson, NC 27896 RE: 2305 Kelly Place, Spring Lake, Wilson, Wilson County, NC Toisnot Swamp [03-04-07, 27-86-11-(1), WS-III NSW] APPROVAL of Neuse River Riparian Buffer Protection Rules MINOR VARIANCE [15A NCAC 2B.0233(9)(b)] with ADDITIONAL CONDITIONS Dear Ms. Markham, You have our approval, in accordance with the conditions listed below, to impact ± 220 ft2of Zone 2 of the. protected to construct the proposed home addition as described within your variance request dated 5/16/01. This letter shall act.as your.Minor Variance approval as described within 15A NCAC 2B .0233(9)(b). 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. This approval is only valid for the purpose and design that you described in your Minor Variance Request dated 5/16/01. 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. . 1. No impacts shall occur to Zone 1 of the protected riparian buffers. 2. Stormwater shall be directed as diffuse flow at non-erosive velocities through the protected stream buffers as identified within 15A NCAC 2B .0233(5). Roof drainage from the addition shall be directed to vegetated areas at non-erosive velocities prior to entering the protected riparian buffers. 3. Any additional stormwater located on the remainder of the property shall be directed as diffuse flow at non-erosive velocities prior to entering the protected riparian buffers. No new ditching or piping of stormwater through the protected buffers is allowed. 4. A mitigation plan to compensate for impacts to the protected riparian buffer must be approved by this office prior to construction. The required amount of mitigation for the Zone 2 impacts is 330 ft2. 5. The mitigation plan can consist of restoring (replanting native woody vegetation at a density of at least 320 trees/shrub per acre) on at least 330 ft2 of protected riparian areas located on the property. 6. If restoration or enhancement or donation of property per 15A NCAC 2B .0242 is not an option, another suitable method to meet this mitigation requirement is to make a payment into the Riparian Buffer Restoration Fund administered by the NC Wetlands Restoration Program (WRP). In accordance with 15A NCAC 2B .0242(7), this contribution will satisfy our compensatory mitigation requirements under 15A NCAC 2B .0233(10) and (7)(C). Until the WRP receives and clears your check (made payable to: DENR - Wetlands Restoration Program), buffer impacts shall not occur. Mr. Ron Ferrell should be contacted at (919) 733-5208 if you have any questions concerning payment into the WRP. You have one month from the date of this approval to make this payment. For accounting purposes, this Certification authorizes payment into the Riparian Buffer Restoration Fund to compensate for 330 ft2 of required riparian buffer mitigation for impacts to 220 ft2 of protected riparian buffers; 03-04-07 river and subbasin. " North Carolina Division of Water Quality, 401 Wetlands Certification Unit, 1621 Mail Service Center, Raleigh, NC 27699-1621 919-733-1786 (phone), 919-733-9959 (fax), http://h2o.enr.state.nc.us/ncwetlands/ Page 2 of 2 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, PO Box 27447, Raleigh, N.C. 276 1 1-7447. This approval and its conditions are final and binding unless you ask for a hearing. 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 Bob Zarzecki at 919-733-9726 if you have any questions or require copies of our rules or procedural materials. Sincerely, Rr. Stev ens, Attachment: WRP Notification Form Cc: Steve Mitchell, DWQ Raleigh Regional Office Ron Ferrell, Wetlands Restoration Program File Copy Central Files 010823 . O?0 A T ?RpG 60 o `iii? -c Kerr T. Stevens Division of Water Quality NORTH CAROLINA DIVISION OF WATER QUALITY MINOR VARIANCE APPROVAL from NEUSE BUFFER RULES SUMMARY OF PERMITTED IMPACTS AND MITIGATION REQUIREMENTS In accordance with 15A NCAC 2B .0233, Ms. Johnsie R. Markham has permission as outlined below and within the attached Minor Variance Approval to impact the protected buffers to construct an addition to her home. All activities associated with these authorized impacts must be conducted with the conditions listed in the attached transmittal letter. THIS APPROVAL IS NOT VALID WITHOUT THE ATTACHMENTS. COMPENSATORY MITIGATION REQUIREMENT WETLAND RESTORATION PROGRAM (WRP) DWQ Project No. 010823 LOCATION: RALEIGH COUNTY: WAKE BASIN/SUBBASIN: 03-04-07 As required by 15A NCAC 26 .0233, you are required to compensate for the above impacts through the restoration or enhancement of buffers as outlined below prior to conducting any activities that impact or degrade the waters of the state. 0.0 acres of Class WL wetlands 0.0 acres of riparian wetland 0.0 acres of non-riparian wetland 0 linear feet of stream channel 330 square feet of stream buffers One of the options you have available to satisfy the compensatory mitigation requirements is through the payment of a fee to the Riparian Buffer Restoration Fund per 15A NCAC 2B .0242. If you choose this option, please sign this form and mail it to the WRP at the address listed below. An invoice for the appropriate amount of payment will be sent to you upon receipt of this form. PLEASE NOTE, THE ABOVE IMPACTS ARE NOT AUTHORIZED UNTIL YOU HAVE RECEIVED NOTIFICATION THAT YOUR PAYMENT HAS BEEN PROCESSED BY THE WRP. Signature WETLANDS RESTORATION PROGRAM (WRP) NC DIVISION OF WATER QUALITY 1619 Mail Service Center Raleigh, NC 27699-1619 (919) 733-5208 Date Michael F. Easley Governor William G. Ross, Jr., Secretary Department of Environment and Natural Resources North Carolina Division of Water Quality, 401 Wetlands Certification Unit, 1650 Mail 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://h2o.enr.state.nc.us/ncwetiands/ \ NA r?RQ? co Michael F. Easley Governor William G. Ross, Jr., Secretary Department of Environment and Natural Resources Kerr T. Stevens, Director Division of Water Quality RECEIPT Johnsie Markham 2305 Kelly Place Wilson, NC 27896-1737 Dear Ms. Markham Subject: DWQ 01 0823 County: Wake Date 7/17/01 The North Carolina Wetlands Restoration Program (NCWRP) has received a check in the amount of $316.80, check number 1001, as payment for the compensatory mitigation requirements of the 401 Water Quality Certification, Certificate of Authorization, and/or Section 404 Permit issued for the subject project. This receipt serves as notification that the compensatory mitigation requirements for this project have been satisfied. Please note that you must also comply with all other conditions of this certification and any other state, federal or local government permits or authorization associated with this activity. The NCWRP, by acceptance of this payment, acknowledges that the NCWRP is responsible for the compensatory mitigation requirements associated with the subject permit and agrees to provide the compensatory mitigation as specified in the permit. The NCWRP will restore 330 feet buffer in the Neuse River Basin. If you have any questions or need additional information, please contact Crystal Braswell at (919) 733-5205. Sincerely, Ronald E. Ferrell Program Manager cc: Wetlands/401 Unit DWQ Regional Office AGAr NCOENR Customer Service Division of Water Quality 1619 Mail Service Center Raleigh, NC 27699-1619 (919) 733-5208 1 800 623-7748 Wetlands Restoration Program Fax: (919) 733-5321 + ( , lerr' in tr k5l2a!!sociateAnnC.9 ENGINEERS • SURVEYORS • PLANNERS June 4, 2001 Attn: Mr. Bob Zarzecki NCDENR 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 RE: 2305 Kelly Place City of Wilson Dear Mr. Zarzecki: Enclosed you will find pictures of the proposed site and a plotplan showing alternate #1, and alternate #2. Note: Flagged stakes indicate the extreme corners of addition. Alternate #2 would encroach into the minimum sideline setbacks-not feasible. Alternate #1 would not flow with the existing home. The home would have an offset addition that is parallel with the existing home, and this would be a somewhat non- customary addition. The roof lines would not match to form a typical A-Intersection roof. The addition would still impact the neuse buffer (120 SF). There would have to be additional tree trimming for the alternate # 1. Upon further review I find the original plan to be the most desirable and practical. Based on the previous data, the above-mentioned data, Mrs. Markham's condition, length of time of pre-neuse buffer ownership, and the general aesthetic harmony of the neighborhood I hope that you find the original request acceptable. Thank you for your assistance with this matter and if any additional information should be needed, please advise. Yours Truly, R. R. HERRING & ASSOCIATES, INC. Donald M. Perry, P.E. 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291-8887 FAX (252) 291-5900 SITE SITE LOCATION NUMBER DIRECTION DISTANCE LI N 19°06'19" E 24.45' L2 N 62°21'22" E 71.95 L3 S 75°20'32" E 101.19' .Q hN 2 297.68' 220% = 59.54' LAKE -"/ 145.34' 220% = 29.07' d? f \1P_i? yo ?o G LAK FR E1 a 39 O / X381 'o_ ?-SFr A M L 139.89' 220% - 27.98' Pp, ^b may. 3 r-- ?h h `3 X40) N 50.00 50-96 I KELLY PLACE I 1 cSO' R?w? I pf NO IRON SET A I K NAIL 60' 30' 0 60' • RAILROAD SPIKE 4 Richard R. Herring, hereby certify that lhis mop was drown under my supervlslon from on actual survey made under my supervision and that there are no vlsiblo enemochmenis on the properly other than those shown. o NEW IRON PIN • EXIST. IRON PIN ¦ CONCRETE MON. SURVEY FOR FLOOD HAZARD ZONE COLEMAN C. MARKHAM & _JOHNSIE R. MARKHAM 2305 KELLY PLACE LOT NO. 39 BLOCK NO. SECTION NO. 2 SPRING LAKE SUBDIVISION CITY OF WILSON, WILSON COUNTY, N.C. RECORDED IN PLAT BOOK 15 PAGE N0. 216 SCALE: 1' = 60' DATE: 1-07-01 ORDER 01-172 R. R. Herring & Associates, Inc. ENGINEERS SURVEYORS PLANNERS 2406 W. NASH ST. WILSON, N.C. 27896 TEL. (252)291-8887 ' J r r? a a ? ? d d r, v S H oft _ ' ? i~ 0(3 N 3 c Yl M Z LO ? x H -+ r N ?C LQ1 Y Z N f.-T ?.+'? I.? A e ¦ ¦ W. ' --,` N= ���• � ,� ~ �' ,yam ^"R r Oy AWOL. /,:a 4 - ?w l ¦ L , ,010' f 46 err' int, date ENGINEERS - SURVEYORS - PLANNERS May 9, 2001 Attn: Mr. Steve Mitchell, PE Raleigh Regional Office NCDENR 1628 Mail Service Center Raleigh, NC 27699-1628 RE: 2305 Kelly Place City of Wilson Dear Mr. Mitchell: The following is more information concerning Mrs. Markham? si#' t' n` Mrs. Markham would like to add a downstairs bedroom & bathroom to her existing home. The need for this addition is caused by Mrs. Markham's debilitating disease (Progressive Rheumatoid Arthritis).(See attached Physician's letter) The builder has indicated that on the West end of the house there is a dining room and a kitchen. If the addition were added onto the West end of the house, the only existing operational fire escape window (Bay Window) in the dining room would no longer exist. This removal of the only fire escape window creates a fire hazard issue and non- compliance with the state building code. If the addition were added onto the West end of the house, the owner would have to egress/ingress from the kitchen through the dining room to the new bedroom. This weaving egress/ingress is neither a pratical nor fitting mode of movement for Mrs. Markham's debilitating condition. Mrs. Markham's Addition would impact 220 S.F.± out of approximately 8993 S.F. of buffer on her property. Mrs. Markham is willing to plant extended landscaping, greenery, bushes, etc., and will try to accommodate any suggestions that you or your department may suggest. 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291-8887 FAX (252) 291-5900 In closing, Mrs. Markham has been diagnosed with Progressive Rheumatoid Arthritis in her knees. The upstairs bedrooms makes her day to day life painful just to walk and mobilize, this pain is augmented when she has to maneuver up and down stairs just to egress/ingress to her existing bedroom. Mrs Markham, her family, her builder, her physician, and myself hope that you find this buffer-impact allowance justified due to the extenuating circumstances that Mrs. Markham is facing. Again, thanks for your consideration and if any further information should be needed please advise. Yours Truly, R. R. HERRING & ASSOCIATES, INC. Donald M. Perry, P.E. JU/ 2 U U i ii : Jb OCKY MOUNT MEDICAL PARK Cardiology: Suarir Praseda, MD, FACC Maitteye A. Thakkar, MO, FACC Shefarldra K. Varme, MO, FACC Linda F. Edmondson, AN, C. MSN, FNP Dermatology/0ermat010910 Surgery Valerie S. LNng, MO Cathy A. Sister, MO, FAAD Jell M. Suchniak, MD ossiroantera"y/Infernal Medicine: Mllcnac A. Mall'moud, MD William 9. Penman, MO Rbben K. srhallenberg, MD Hemalelog y/oncology t William F. Botmien, Ill, MO Pamela A, Lepers, DO Internal Medicinal Kenneth R. Adams, MD Linda A. Gassen•Shanoa, ME) Myrlem M.J. Daniel, MD 0, Michelle Wyeinger. MD Nannooyy A. Shaw, MD Do4 1 K. Stater, MO Amulye K. Slnha. MD Nepnrology/Internel Medicine: M. Linda Hewes. MO Michael 0, Holland, MO Earlane Whaley, FNP•C Neurology; William R. Deans, MD Rosalro Guarino, MD Pulmonology/Internal Medicine: Donald M. Rsbll. MO. FCCP Rneumatology/Internal Medicine: NlChOW A, Patrons, MD, FACP Pediatrics: David S. Brantley, MO, FAAP Pedia l rloe/N9onsic logy t Susan L. Church, MO, FAAP Pedlatrlcs/Pedialde Cardiology: James W. Grant. MD, FAAP OsnaralNaacular Sw9eryt William C. Dangler, Jr., MD, FACS W. Douglas Harrison, MO. FACE Peter Muller. MO, FACS Lise C. Neleon-Aobtnson, MO Stuart K, Todd, MD, FACS Plastla/Reconstrucove/H¦nd Surgery; Frederick K. Palk, MO. FACS Susan K. Everette, FNP Orthopedic Surgery/Sports Medicine: Shepherd F, Rosenblum, M0, FAAOS OICE•WILLIS IMMEDIATE CARE Ervin L, Phipps, MO Julian R. Taylor, MD DICE-WILLIS CLINIC -wnal Medicine Center Internal Medicine: Donald W. Sales, Jr., MD David A, Browder. MO Kent E. Carr, MD John S. Deroysh re, MO Marten T. LasZewski, MD Timothy C. Smith, MD Tweed 0. Gibson, GNP.C OICE•WILLIS PRIMARY CARE mnily irecttosllnternal Medlolne Family Practice: John O. Diamond, MD David M. Oorby, Md Samuel M. Wo"it, MO Melissa M. Kovach, PA-C Internal Medlelnel Matthew F. Chamberlain, MD H. James Evens, MO J. Martin Hood, MO Madhvl M. Thakkar, MO Wayne P TamberaNl, PA.C OICE•WILLIS CLINIC , shville, Nc Family Practice: Joseph T. Liverman, MD Michael R, Sundermen, Sr., MD Tracy Chrls(-Clement. PA•C OICE•WILLI9 CLINIC ling Hope, NC Family Practice A. Thomas May, III, Mo Bonita C. Aycock, FNPC IMMEDIATE CARE 988 N. Winstead Avenue Rocky Mount, NC 27804 (7571 q37-03M L5LL4JbJJ4 April 25, 2001 SUNK l List 1 : (''Alas. b 1 ADMINISTRATION: Kant E. Carr. MO Chief Executive Officer medical Director Bob Miller j?(? [1 Chiel Adminetrative Officer BOT?/'ry? 1CL./a UZ Cary) Fa 210 1110111 L I N I C CAW Finannci cial Officer 901 N, Winstead Ave. Rocky Mount, NC 27804 (252) 937-0200 Fax: (252) 937,2903 www. boice-wi l lis, co m TO WHOM IT MAY CONCERN: RE: Johnsie Markham DOB: 09/10/1938 CHART #: 152764 Dear Sirs: I follow Johnsic Markham at the Boice-Willis Clinic for ostearthritis involving her knees. She has recently attempted to add a bedroom to her house on the ground Door so that she %vould not have to be walking up and down the stairs with the osteoarthritis in her knees. I believe that this would significantly decrease her discomfort. She has a tremendous amount of difficulty walking up and down stairs and would ask that you consider her rezoning request so that they call go with this bedroom on the base floor. If you have any questions concerning this please do not hesitate to call or write. Sincerely, Nicholas Patrone, MD, FACP Boice-Willis Clinic, P.A. Rocky Mount Medical Park NAP/MSCP/mt5066 D: 2001-04-25 09:12:55.0 T: 4/26/01 Job#; 1758840 cc: Johnsic Markham PRIMARY CARE INTERNAL MEDICINE CENTER NASHVILLE SPRING HOPE 100 Nash Mail" Arts Mall 1051 Country Club Drive 111 W. Church Streot 100 Dodd St Rocky Mount, NC 27804 Rocky Mount, NC 27804 Nashville, NC 27858 5li-IQ Hope, NC ;7882 (252) 451.3200 (252) 937.084 (252) 450.4012 1252) 478.6412 04; it°_/2001 I?: 17 9192915900 RR HERRING ASSOC 'AL assodate inc° ENGINEERS • SURVEYORS • PLANNERS April 9, 2001 Attn. Ms. Nancy Owens Raleigh Regional Office NCDEN-R 1628 flail Service Center Raleigh, NC 27699-1628 RE 2305 Kelly Place Wilson, N.C. Dear Ms. Owens The. property owner, Ms. Johnsie R. Markham, has been diagnosed with Progressive Rheumatoid Arthritis, Presently her home has only upstairs bedrooms, and because of Mrs. Markham's declining health the stairs are impeding her accessibility to these bedrooms and bathrooms, The new addition being proposed is for a downstairs bedroom with bath, which Mrs Markham could access with less irnpedence. The owner is willing to plant more landscaping, greenery, etc., and will try to accommodate any suggestions that the department may have, Thank you for your cooperation and if any additional information should be needed, please advise. Yours Truly, R R HERRING & ASSOCIATES, INC. Donald M. Perry, P.F. PAGE 01 VV:6 ( &A- I . 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291.8887 FAX (252) 291-5900 err' associa, in cc to Tinc.9 ENGINEERS • SURVEYORS • PLANNERS March 30, 2001 Attn: Ms. Nancy Owens Raleigh Regional Office NCDENR 1628 Mail Service Center Raleigh, NC 27699- l 628 RE: 2305 Kelly Place City of Wilson Dear Ms. Owens: Enclosed please find the following for the above referenced project with the following. 1. Site Map 2. Partial-USGS Quad Map 3. Partial- City of Wilson Location Map I discussed this project with you via telephone in early March. Please call me when you receive this information so that we may further discuss this project. Again, thanks for your help! Yours Truly, R. R. HERRING & ASSOCIATES, INC. Donald Perry, P.E. 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291-8887 FAX (252) 291-5900 04/06%2081 13:33 91929%5900 RR HERRING ASSOC PUCE 01 I O F ,, I D AOM, z ?, 9 pa ?' n 1 Maq ?o Z ? ? Ur •' ••? r y ? ? i.p 0Q O ? ?. D p A I -4 I N ? ?° D O ?ti O q* d D ? I ? ? .? ? b d "p Qv 6' ? o ? I N o t 91 ??1 '?I,?? ? ? a? po9 t?? m bAq?{? w I ,may, '? 1 o v o `" ?' d, 2 z a x n ?p m Y ` < o d Ma ,f w G ?? o N! Cf m i.,. ? z, p O ? ? ?Y O -' 14 O ?_ ? b y A 7 1 0 w o ? roG ? ? Z a r y,r S(? N a W Z \ A o. 9,q v a. d 0 b 0 p nT r ° M D F G' .9 D I; v' ` y,r ? 1 r SITE SITE LOCATION 38) NUMBER DIRECTION - DISTANCE LI N 19°06'19" E 24.45' L2 N 62021'22" E 71.95' L3 S 75020'32" E 101.19' 297.68' @20% - LAKE 145.34' @207. - 29.07' P (` 139.89' 820% - 27.98' F jj EDGE 0 TAKE/D- I PRO/4)> 4 -17 'ADD4 M, X40) KELLY PLACR 1 1 (50' RAW) I yf NO IRON SET O NEW IRON PIN FLOOD A P K NAIL A EXIST. IRON PIN HAZARD ZONE 60' 30' 0 60' 120' ? RAILROAD SPIKE p CONCRETE MON. Richard R. Herring, hereby certify that this mop was drown under my supervision from an actual survey made under my supervision and that there are no vls/b/e encroachments on the property other than those shown. SURVEY FOR COLEMAN C. MARKHAM & JOHNSIE R. MARKHAM 2305 KELLY PLACE LOT NO. 39 BLOCK NO. SECTION NO. 2 SPRING LAKE SUBDIVISION CITY Of WILSON, WILSON COUNTY, N.C. RECORDED IN PLAT BOOK 15 PAGE NO. 216. SCALE: 1' = 60' DATE: 1-07-01 ORDER 01-172 R. R. Herring & Associates, Inc. ENGINEERS SURVEYORS PLANNERS 2406 W. NASH ST. WILSON, N.C. 27896 TEL. (252)291-8887 C 0 r ;o A = m N ? n D 3 A r a rn ? z < 0 0 z i C 0 z v N r 0 G) rn r 0 i v M a 0 f ?Z --I 00 =r0 vC rn ;o D D D n Z r < -+ rn rn a C z ? < v < r D D r ; rn v r D O ocrni?0 N crn 3 m OZ c in ? s a< n ? > ? N N r D co D Z rn 0 Z N ? rn N) r 00 C rn 4 p D 0 z m ? ron n D ? -?I zz 0 O x 0 m a 'I m? on v? (y rp N 1 r .* fD ? 0 as S `< O 2 m x / V ?' N c n 'I ? a W F < :r C N N ? 1 c n a 0 C 2. 3'r -9 M=r -T < O O w 'R D -? m a [ri Zl N p C c`n C l) ?. /' 0 co a (A ? Z < go (J A D o > rN' w ? •00 n d m n a N m 0 i 4 o Z 0 c ? 1 II \ j ? •_ /`'+1 II II II II V c N ? ? 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O Z err' oENGINEERS - SURVEYORS - PLANNERS May 16, 2001 Attn: Mr. Bob Zarzecki NCDENR 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 RE: 2305 Kelly Place City of Wilson Dear Mr. Zarzecki: 7 0 2001 SET GROU - R rTr SECTION Enclosed you will find a Variance Request Form- for Minor Variances (Protection and Maintenance of Riparian Areas Rules) and other supporting documents for the above referenced project. 1 would like to reiterate the fact that this Neuse-Buffer issue has been extended over a period of 7-8 weeks. Please take under consideration Mrs. Markham's condition (osteoarthritis) and the time-line of this issue so that this buffer variance may be reviewed expeditiously. Mrs. Markham's request would only impact 220 S.F. out of approximately 8993 S.F. of buffer on her property. Due to the extenuating circumstances and the minimal impact I hope that you find this buffer-impact allowance justified. Thank you for your assistance with this matter and if any additional information should be needed, please advise. Yours Truly, R. R. HERRING & ASSOCIATES, INC. 0040wa qe)?. 4!?? Donald M. Perry, P.E. 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291-8887 FAX (252) 291-5900 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 Protection Rule applies. 6 Neuse River Basin: Nutrient Sensitive Waters Management Strategy Protection and Maintenance of Riparian Areas Rule (15A NCAC .0233) ? Tar-Pamlico River Basin: Nutrient Sensitive Waters Management Strategy Protection and Maintenance of Riparian Areas Rule (15A NCAC .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): Coleman C. Markham & Johnsie R. Markham 2. Print Owner/Signing Official (person legally responsible for the property and its compliance) Name: Johnsie R. Markham Title: Owner Street address: 2305 Kelly Place City, State, Zip: Wilson, NC 27896 Telephone: J _Z52 ) 243-2660 Fax: ) 3. Contact person who can answer questions about the proposed project: Name: Donald M. Perry Telephone: (252 ) 291-8887 Fax: .(252 .....) 291-5900 ....... Email: 4. Project Name (Subdivision, facility, or establishment name - consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Johnsie R. Markham - 2305 Kelly Place 5. Project Location: Street address: 2305 Kelly Place City, State, Zip: Wilson, NC 27896 County: Wilson Version 1: February 2000 Latitude/longitude: 6. Directions to site from nearest major intersection (Also, attach an 8'h x 11 copy of the USGS topographic map indicating the location of the site): See Attached Map 7. Stream to be impacted by the proposed activity: Stream name (for unnamed streams label as "UT" to the nearest named stream): Spriin Lake Stream classification [as identified within the Schedule of Classifications 15A NCAC 2B .0315 (Neuse) or.0316 (Tar-Pamlico)]: 15A NCAC2B. 0315 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.]: See Attached Exhibit - A 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: See Attached Exhibit - B 3. 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.): Owner will plant native vegetation at the request of NCDENR Variance Request Form, page 2 Version 1: February 2000 4. Please provide an explanation of the following: (1) The practical difficulties or hardships that would result from the strict application of this Rule. See Exhibit - B Medical Hardship - SEE EXHIBIT C (2) How these difficulties or hardships result from conditions that are unique to the property involved. The property owner owns a lot that was purchased in August of 1981. (Prior to Neuse Buffer Rules) The Owner's lot incorperates part of the lake. (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: 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): R. R. Herring & Associates, Inc. - Donald M. Perry Mailing address: 2406 W. Nash Street City, State, Zip: Wilson. NC 27896 Telephone: 252-291-8887 Fax: 252-291-5900 Email: Part 5: Applicant's Certification , T O H ws 16 R. M a r P k 0. m (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: Variance Request rm, page 3 Version 1: February 2000 Date: Title: 7 TO -61 Variance Request Form, page Version 1: February 2000 EXHIBIT A SITE SITE LOCATION NUMBER DIRECTION DISTANCE LI N 19°06'19" E 24.45' L2 N 62021'22" E 71.95' L3 S 75°20'32" E 101.19' N X381 220 S.F. ENCROACHMENT I KELLY PLACE 1 (50' RAW) I NO IRON SET 0 NEW IRON PIN FLOOD A P K NAIL w EXIST. IRON PIN HAZARD ZONE 60' 30' 0 60' 120' ? RAILROAD SPIKE a CONCRETE MON. SURVEY FOR 1, Richord R. Herring, hereby certify that this mop was drown under my supervision from on actual survey made COLOHAN C MARKHAM & JOHNSIE R. MARKHAM under my supervWon and that there are no visible encroachments on the properly other than those shown. 2305 KELLY PLACE LOT NO. 39 BLOCK N0. SECTION NO. 2 _ SPRING LAKE SUBDIVISION CITY OF WILSON WILSON COUNTY, N.C. _ RECORDED IN PLAT BOOK 15 PAGE NO. 216 SCALE: 1' = 60' DATE: 1-07-01 ORDER 01-172 R. R. Herring & Associates, Inc. ENGINEERS SURVEYORS PLANNERS 2406 W. NASH ST. WILSON, N.C. 27896 TEL. (252)291-8887 EXHIBIT B err' iqrxsoclatesinc.9 ENGINEERS • SURVEYORS • PLANNERS May 9, 2001 Attn: Mr. Steve Mitchell, PE Raleigh Regional Office NCDENR 1628 Mail Service Center Raleigh, NC 27699-1628 RE: 2305 Kelly Place City of Wilson Dear Mr. Mitchell: The following is more information concerning Mrs. Markham's situation. Mrs. Markham would like to add a downstairs bedroom & bathroom to her existing home. The need for this addition is caused by Mrs. Markham's debilitating disease (Progressive Rheumatoid Arthritis).(See attached Physician's letter) The builder has indicated that on the West end of the house there is a dining room and a kitchen. If the addition were added onto the West end of the house, the only existing operational fire escape window (Bay Window) in the dining room would no longer exist. This removal of the only fire escape window creates a fire hazard issue and non- compliance with the state building code. If the addition were added onto the West end of the house, the owner would have to egress/ingress from the kitchen through the dining room to the new bedroom. This weaving egress/ingress is neither a pratical nor fitting mode of movement for Mrs. Markham's debilitating condition. Mrs. Markham's Addition would impact 220 S.F.± out of approximately 8993 S.F. of buffer on her property. Mrs. Markham is willing to plant extended landscaping, greenery, bushes, etc., and will try to accommodate any suggestions that you or your department may suggest. 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291-8887 FAX (252) 291-5900 i In closing, Mrs. Markham has been diagnosed with Progressive Rheumatoid Arthritis in her knees. The upstairs bedrooms makes her day to day life painful just to walk and mobilize, this pain is augmented when she has to maneuver up and down stairs just to egress/ingress to her existing bedroom. Mrs Markham, her family, her builder, her physician, and myself hope that you find this buffer-impact allowance justified due to the extenuating circumstances that Mrs. Markham is facing. Again, thanks for your consideration and if any further information should be needed please advise. Yours Truly, R. R. HERRING & ASSOCIATES, INC. Donald M. Perry, P.E. fY MOUNT MEDICAL PARK /erdlologyl Sudnir Pr?sad?, MD, FACC Malusys e• Thakk?r, MO. FACC Shslendra K Varme, MO, FACC Linda F, Hdmond?on, RN, C. MEN, FNP Dertmato40gy/permatdoglo furgary Valerie S. I". MO Cathy A. 3Ia1N, MD, FMO Jeffrey M. Suchnlak, MD oastroanterology/Iraernal Medicine: Mitchell A. McKmoud, MO Wllkam 8. Pinmsn, MO Robert K. Schallarlbsrg, MD He mstoleg yf'OrAclo0y: William F. Bobzlen, III, Mo Pamela A, Lapels, DO Internal Medlckel Kenneth R. Adams, MO Linda A Bewen•snanoa. KID Myriam M.J. Daniel. MO o, Mlchelle Wysinger, MD NDsonuocy A. Gnaw, MCC AmulyaaK Slnha. MO Neurroogy/Intarnst Medicine: M. Linda Hawes. MD Mich", D. Holland, MO Farlate Whaley, FNP•C Neurology: William R. Deans, MO Roealro Guarino, MD Pulmonoleyyllnternl Medicine: Oonald M. Rabll. MD. FCCP Rneumsiology/InlHnal Medicine: Nicholas A, Patrons, MO, PACP Pediatrics: David S, Brantley, MO, FAAP Pedts I rlos/Neon l logy; Swan L, Church, MO, FAAP Pedtatrics/Pedlalrlo Csrdlology: James W. Grant. MD. FAAP GsneralNesaular Blugsryl WIIYsm C. Dangler. Jr., MD, FACO W. 0ougtas Harrison, MO. FACE Peter Munw,, M0, FACS Lisa C. Nelson-Robinson, MD Stuart K, Todd. MD, FACE Plaatle/Reconsiruclive/Mend Surgeryt Frederick K. Park, MO. FACS Susan K. Evereus, FNF Orthopedic Surgery/Sports Medicine: Shepherd F. Rosenblum, MD, FAAOS OICE•WILLIS IMMEDIATC CARE Ervin L. Phipps, MO Julian R. Taylor, MO DICE-WILLIE CLINIC •srnal Medicine Center Internal Medicinal Donald W. Bales, Jr., MD David A. Wow0fir. MO Kent E. Carr, MO John S. Deroyshire, MO Martens T. Lauswski, MO Timothy C. Smith, MD Teresa D, Gibson. ONP.C OICE•WILLIS PRIMARY CARE amlly Prsotl0sllmornall Medlolne Family Practice John 0• Diamond, MD David R, oorby, Md Samuel M. writ ps, MO Melusa M. Kovach, PA,C Internal MedlslMl Matthew F. Gtamberlaln, MO H. James Evans, MO J. Manln Hood, MO Madhvl M. Thakkar, MD Wayne P. TamoereMl, PA.C •WILLIS CLINIC DICE ,shville, NC Family Praotloe; Joseph T. Liverman, MD Michael R, Bunciermen, Sr., MO Tracy CMsI•Clemenl. PA•C OICE-WILLIE CLINIC wing Hope, NC Family Practice A. Thom" May, III, Mo Wits C. Aycock. FNPC IMMEDIATE CARE 988 N. Winstead Avenue Rocky Mount. NC 27604 12621 w7.r9m EXHIBIT C BOIC'RU3 C L I N I C 801 N, Winstead Ave. Rocky Mount, NC 27804 (252) 937.0200 Fax: (252) 937.2903 www.boice-wlllls,com April 25, 2001 TO WHOM IT MAY CONCERN: RE: Johnsie Markharn DOB: 09/10/1938 CHART #: 152764 Dear Sirs: ADMINISTRATION; Kant E. Carr. MO Chief F.xeCUllve ON Cer Medlcal Director 1304 Miller Chief Adminelralive OKicer GaryJ. Fs2lo Chlel Financial OnlCer I follow Johnsie Markham at the Boice-Willis Clinic for ostearthritis involving llcr knoQs. She has recently attempted to add a bedroom to her house on the ground floor so thot alit would not have to be walking up and down the stairs with the osteoarthritis in her knees. I believe that this would significantly decrease her discomfort. She has a tremendous amount of difficulty walking up and down stairs and would ask that you consider her rezoning request so that they can go with this bedroom on the base floor, If you have any questions concerning this please do not hesitate to call or write. Sincerely, A /Z? Nicholas Patrone, MD, FACP Boice-Willis Clinic, P.A. Rocky Mount Medical Park NAP/MSCP/mt5066 D: 2001-04-25 09:12:55,0 T: 4/26/01 Job#: 1758840 cc: Johnsic Markham PRIMARY CARE INTERNAL MEDICINE CENTER NASHVILLE SPRING HOPE 100 Nash Medlcal Arts Mall 1051 Country Club Drive 111 W. Church 5treot 100 Dodd St Rocky Mounl, NC 27504 Rocky Mount, NC 27904 Nashville, NC 27958 :;h i ql Hope, NC 27882 (262) 451.3200 (252) 937.4094 (2521 450.4012 (252) 479.6412 Po ° ro '?? . I O / C \! \ m C4 o C* \ Z rrri / F ? 9 aa`?5e f ? a? a a r CT BURN SIDE o° .. tlV?O.. GG m D r B. NON / ? O/ / ' rn I Yy rn - - - OREST ° oR. A ?n • ? ? ? D ???9?5 09yy I A m S??l / m9 s r ?;? 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D ^ M W `•:i5r Md8 D D t,t dd GII?(?: •? o o I• ,r fd I? a° Ia a ? . ? ?r a 1 D ? ? ???• HFZry D ,i1 Y O.? k .? i' p! m sr+p,". • ,lr S / ti?i '!?*+ Ar A `. Jy t •I V n ?'?. '? f't •e'',3?t ?• ?? ??' m. ? ? A y .., t?;?•' ?y get, ??) '????,. I ? ..:fir • [err" ng associate inc. ENGINEERS - SURVEYORS - PLANNERS March 30, 2001 Attn: Ms. Nancy Owens Raleigh Regional Office NCDENR 1628 Mail Service Center Raleigh, NC 27699-1628 RE: 2305 Kelly Place City of Wilson Dear Ms. Owens: Enclosed please find the following for the above referenced project with the following. 1. Site Map 2. Partial-USGS Quad Map 3. Partial- City of Wilson Location Map I discussed this project with you via telephone in early March. Please call me when you receive this information so that we may further discuss this project. Again, thanks for your help! Yours Truly, R. R. HERRING & ASSOCIATES, INC. ti,? ill ?/l?f Donald Perry, P.E. 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291-8887 FAX (252) 291-5900 Herr' assoclates,inc. ENGINEERS - SURVEYORS - PLANNERS FAX 9 (252) 291-5900 FACSIMILE TRANSMITTAL COVER SHEET 040? o'" DATE: ' 0 -o / TIME: / 3S O NUNMER OF PAGES: (including Cover Sheet) TO: __IlIA N c,1 o t- : Ns FAX NUMBER: (91 s r) I 4r) 1 F? FROM: DoNAL. c) n ? r RE: Rs. /I, A R k g4 p,. COMMENTS: ?1:lob/ o jGLcuw V ?A (JS 00JiAL 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291-8887 FAX (252) 291-5900 Flerrl?' c3ates,itG 47 o ENGINEERS • SURVEYORS - PLANNERS FAX # (252) 291-5900 FACSIMILE TRANSMITTAL COVER SHEET DATE: 6,r -,,):3 - 01 NUMBER OF PAGES: Z TIME: )/: (Including Cover Sheet) TO: N? -r f) w ?= NJ FAX NUMBER: ?q i,q J s r) / - 4r / 8 FROM: ,D 6&4 c p p q. P,, R RE: /??S. MARrcol,,, '-? Pre.upe--p7 COMN ENTS: fol. ,? ?- A f) 7 6 , :jLte,. 7111q2 kJ 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291-8887 FAX (252) 291-5900 ' L io! Herr' as2! tesjuc. ENGINEERS • SURVEYORS • PLANNERS FAX # (252) 291-5900 FACSIMILE TRANSMITTAL COVER SHEET DATE: OS- 09 -Q / TIME: /, 3-?- NUMBER OF PAGES: (Including Cover Sheet) TO: NA A lc-( n(,, I- A,( FAX NUMBER: (91-\ 1 s r) I. 4 r) I e FROM: DoAIA(- c . =;= r, COMNMNTS: 1C AD D jGLcuw 11'elf o A 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291-8887 FAX(252)291-5900 0 9i 200 1 12: 9192915-1 P, r . Herr o ENGINFERS 'SURVEYORS ' P,-ANNF-PS FAX # (252) 291-5900 FACSIMILE TRANSMITTAL COVER SHEET DATE: CS- l) C'j NUMMER OF PAGES; TO: (hicluding Cover Sheet) FAX NUMBER:,"if:T t FROM: ?,ti;, r` RE: COMMLNTS; 2406 w?ST NASH STREET WILSON, NORTH CAROLINA 2 ;896 (252) 291-8887 FAX (252) 291 5,??,J uJi r j:)/ ?L;Li :t: - _ Ii':I [`+lMybti FMK HL? ii ,u 1S C" 1 err' oclj S. in ENGINEERS - SURVEYORS • PLANNERS May 9, 2001 Attn' Mr, Steve Mitchell, PE Raleigh Regional Office NCDENR 1628 Mail Service Center Raleigh, NC 27699-1628 RE- 2305 Kelly Place City of Wilson Dear Mr. Mitchell, The following is more information concerning Mrs. Markham's situation Mrs, Markham would like to add a downstairs bedroom & bathroom to her existing home. The need for this addition is caused by Mrs Markham's debilitating disease (Progressive Rheumatoid Arthritis).(See attached Physician's letter) The builder has indicated that on the West end of the house there is a dining room and a kitchen If the addition were added onto the West end of the house, the only existmg operational fire escape window (Bay Window) in the dining room would no longer exist. This removal of the only fire escape window creates a fire hazard issue and non- compliance with the state building code. If the addition were added onto the West end of the house, the owner would have to egress/ingress from the kitchen through the dining room to the new bedroom. Tlus weaving egress/ingt-ess is neither a pratical nor fitting mode of movement for Mrs Markham's debilitating condition. Mrs Markham's Addition would impact 220 S.F.± out of approximately 8993 ST, of buffer on her property. Mrs. Markham is willing to plant extended landscaping, greenery, bushes, etc., and will try to accommodate any suggestions that you or your department may suggest, 2406 WEST NASH STREET WILSON, NORTH CAROLINA 27896 (252) 291.8887 FAX (252) 291 5900 e?3/et'/2bb1 12:.1 ?1y2y15y0LA RR HERRING A5SOC In closing, Nifss. Markham has been diagnosed with Progressive Rheumatoid Arthritis in her knees The upstairs bedrooms makes her day to day life painful just to walk and mobilize, this pain is augmented when she has to maneuver up and down stairs just to egress/ingress to her existing bedroom Mrs Markham, her family, her builder, her physician, and myself hope that you find this buffer-impact allowance justified due to the extenuating circumstances that Mrs. Markham is facing. Again, thanks for your consideration and if any further information should be needed please advise. Yours Truly, R. R HERRING & ASSOCIATES, INC. Donald Pvt. Pent', P,E, eo/ey?L'7b1 11:1 y_J117115tid?' R< NERR?Nr H?_C_ DCKY MQJNT MKDICAL PARK Cardiology: lvOru. P,'41404, MD' FACC MwUaya 8. ThaAher MO FACC 9na4ndra K Vvma, MD, FACC LYKIA F, Bdmandaon, RN, C, MBN, 1(NP Delrrraoleey/Perynerdagle luryary ,/Cwwr B- LAk1q, MO Calhy A, 3444, M0, FMQ Jeffrey M. 3k4hrvaK, MD OutroentN010gyllnerrN McWNne? MltenWl A Mah'moua. MD WONam 1, P4ynan, MD Robert K 84how)bwo. ND He m alahleylon"ogy W(44M F Bow6w, (11 Mo P"A A Lapera, DO lnle(nel Medlrww: KWx ih P, Adame, MO 4,1MA A. Bnseah,Ar)ArIQa, mo Myrwm M J Danlal. M0 o, M1CM0110 Wyoinpw. MO r"rwy A "a*, MO D"101 K 8419?, Mb Amvlye K SWUL MD Nephralpgyprawfil M04101ne, M. t. wA Hama MD WCK"I t), HOaaad, MO Qerlarw Wha*y, FNRt? Neuralaay? When, R Deane. MC) Poaufo auwv'o. Mq Pulmanolgay/Inlarnal MA0101na, Opnald M, 14011. MD, KCCP Rneyrmlalagy/InlNnal M00101ne; MOOS$ A, Patrons, MD, FAGP P944lrlae, David 9, Brantley, MQ, P,a,AP Pedal rlp.lrNeonalalagy Susan L, Chufcll. M0. FvUP P"iPtrlc./Ped4(0C Cartllpogy. dlmn W. Oram1, MD, FAAP Gg11WAINaaeeUr 1lurgery, W% m C Dempt, Jr , MD, PACO W. DOUgU" Ni Wfieon, Mo. FACI PYIOr MWIw. MQ, PAC9 Lisa C, Neleon?WOlnaon. MD 9(uan K, Todd, MO FAC9 P4aIIWR9oonalydCWV*/Hsnd 3ur011y! PICOWhCh K. Park, MQ aACS 5404n K. 4%felle, FNP Orihovedlc 1/PB4ry/eporta MadlOw Shgphe(d F R I"nbJV n, MD, FAA03 QICC-WILLJ9 IMMEDIATE CARE Ervin L Pnlpps, M0 Johan R T1y1w, "D DICE-WILr,114 CLINIC e,n1) Meduane Canrar Inaroal MedICInet Donald W. Bales, it, MD David A. 0,0"' 1af M0 Kent F, Carr MD John 9 Deroyahae, MD Metiena T L0#X*wsk,, MC TIMOtny C. Smdh, MD TafuII D, aloeon GNRC OICE•WILLI• PRIAAARY CARE rmlly Ira0110111nhrn.l 1AedI0lna Femdy ?raatl..: John D. Olamwd, MD Dayly R. cwrOy, Mal Semuel M. Weeonga, MQ M911eae M, Kovach, PA :C Internal td.dlglMMatthew P G+ambartam MD H JeIMe Even1. MD J Msofn Hood MD Malhyl M ThekYgf. MD Weyne P TAm0ef9ut, PA.C 1I06.YVILL19 CLINIC Pam11y Pracllce. 444 pP T. L -II,A, MD W(V1441 R, bvnderman, Sc. MD Tracy CM31 D9man1, pA.C ACE•WiLLIa CLINK" tog Hope, NC Pamlly "We"". A. TToma/ May, III, MD Unlta C Aycodl, FNPIC WIL me q;;r,>'INIgrRATIGN C&:; IA,) ?I,nl LiAC-,>t?n ;)n,;p 'In!1 cdG•'aru- Li: : 1J r TT C L N n.,,F?a?ce; of cer 901 N Winntead Ave Rr,oky Mount, NC 27804 ;252) 937-0200 Fax; (252) 937.2903 ' wW boina-vnllis corn April 25, 2001 TO WHOM IT MAY CONCERN; RE: Johnsia Markham DOB• 09/10/1938 CHART N; 152764 Dear Sirs: I follow Johnsie Morkliam Pt the Doice•Willis Clinic for ostearduitls involvitlg hr:r ktlecs She has recently attempted to add a bedroom to her house on the ground floor So that ehe WOLIld Tint have to he walking up and down the stairs with tJtc csteoarthntis in her knees I beljeve that tiiis ,Would significantly decrcase her discomfort. She has a tremendous amount of difficui:., wJlklne up and down stairs and would ask thut you considcr her rezoning request so [hat tliey c do do .v n t):is bedroom on the base floor. Jf you have any questions concerning this plcasc do not hcs)rw to call or w;?,'? Sincerely, `? ?V l Nichollts Pat-rone, MD, FACP Boice-Willis Clinic, P.A RoocJ y Mount Medical Park NAP/MSCP/mt5066 D; 200104-23 09;12:55,0 T, 4/26/01 Job#: 1758840 cc: Johnsic Markham IUUF15fATE CARL PRIMARY CARL; INTERNAL MEDICINI$ CENTER NASHVILLE $PNINa HOPE INN M111#40 Avenue I DO Nasn Medloal Arts Melt 1051 CeuNry Club Drlve W Cnwch 5veol RDCNy MQunl, NO 77604 Reeky Mount, NC, 27804 ROr, 100 Dodd Si 1' 1 feet) 037.o9D0 Hy Mount, NC x7904 NOah,nl e, NC 27858 11 Nv r 1282) ap+?MO .SII 837.4084 ?u:,, III ,70"2 e21 4159 4012 lJti?l A A'R _I11,*