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54369_TOWN OF RIVER BEND_20091208
❑CAMA / ❑ DREDGE & FILL �j� GENERAL PERMIT K/!/%% Previous permit# ❑New ❑N-odificatfon ❑Complete Reissue ❑Partial Reissue Date previous permit issued_ As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name 1'f''r APro•ect Location: County Address Ve City State ^',,ZIP Phone # O Fax # Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no 1 Street Address/ State Road/ Lot #(s) i Subdivision t City ZIP Phone # ( ) River Basin `= Adj. Wtr. Body (nat /man /unkn) Closest Mal. Wtr. Body" Hon. 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Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit** f Application Fee(s) Check # PermitO icer's Si nature Issuing Date r Expiration Date % Local Planning Jurisdiction 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 landowners). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis 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/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 Lo"u.,ty _ Permit Number Ocean Hazard Estuarine Shoreline GENERAL.., INFORMATION LAND OWNER Name: �o �r vr2 •c3ENn ORW Shoreline Public Trust Shoreline Other, (For official use only) Address: leS '511a z Z:.✓F 'v't - City: X 'Vr/e d6:v0 State: Al,C- Zip: ,1hone: AUTHORIZED AGENT ✓e n/ Toles Name: Address: 000 0. doe C11 City: 10,f y s v1' /le State: -'�' C• Zip: a 7Sm- Phone: (9/°.) 935oe- 9" 7 LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the adjacent waterbodl.)0's of F of a.,,, fb�•vT(P,rRet/ 8-do/- od3� - FNTE*,C 4-jeae A:.vv o•v .511•44rfiver bt. .t yD iaKr a 7 o .-V/•v r.*r, .J. Fs. %oww •✓A r,4k ' /t/"T o�/ F,rali hiwi I v b 7,_rear .oc% •64h On/ A, r{, u vTtL 16oe Zew- t Se4.-,eC �O/q,vi . ?ZXgc4rvr ^lne- a A0 v _ S THC 7/loNi �e yet. DESCRIPTION OF PROJECT: (List all proposed constr"tion and land disturbance.).rAu A a NT J,4A0#x i MdMJ.-4 foe Cu,CteVT SCWd-IC /••vri' AN10 /'�e,*d✓e Ood 5"o0AAis .nt�idECs. �,/y T�ra3 oR IiP�eYNT,,,v To �?E Ri=FE'cT60 . 6./t /ORoposc u Si NG .4 i'fRcK LA.d daw.�/ i o,Q ,n;N.' tk&-4vAT,Q 7�o ddr uSEO SIZE OF LOT/PARCEL: square feet /o- A6 acres 1, ,,/A.r►,,, �-� N�.✓ • /Q.rr 4caiw ���Cox. ... iz swwrrl Z)6'- #V Tito- .i: a c= of i o/d' Ci4•tQov7- s~&L c j v c4. PROPOSED USE: Residential ❑ (Single-family ❑ Multi -family ❑) Commerical/Industrial ROther ❑ TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRONMENTAL CONCERN (AEC): AIM square feet (includes all floors and roof covered decks) SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 380_ square feet (Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are within the applicable AEC.)(Attach your calculations with the project drawing .)/9 Ste`/o¢TS N/�. i •TAG of Cho area that applies to your property: 2 . Q(,f afKjvfir,t T 1)withi feet of Normal High Water for the Estuarine Shoreline A ithin 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters (3)within 30 feet of the Public Trust Shoreline AEC (Contact your Local Permit Officer if you are not sure which AEC applies to your property.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater Management Permit issued by the NC Division of Water Quality? YES ❑ NO Ej? If yes, list the total built upon area/impervious surface allowed for your lot or parcel. square feet. 01 M— ERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit. As a service we have compilgd a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to determine if any dthese apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others. STATEMENT OF OWNERSHIP: I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one) � /own► OF �C�vcsr/Z 86 _ 19 an owner or record title, Title is vested in , see Deed Book /s3 / /Y1,41O page 4 / q in theCRAVT4ounty Registry of Deeds. ❑ an owner by virtue of inheritance. Applicant is an heir to the estate of ; probate was in County. ❑ if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application. NOTIFICATION OF ADJACENT PROPERTY OWNERS: I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) (Address) (1) Df4V'- D �&y S / E2 /07 5A4ND /. pFiC c?—. N6= w ACXov, (2)1XAKCr.44--(- C. C2: (Ly /0 5" S4-1,0AAr-t C7- (3) e— r2 ;44,4 4 Z-5 -moo aw i t 'Vrw d6:4., I .v.c. a 8 d-d (4)C• N . 0oPe -0 %w�/ of Riw�� 46P a11oCtr4,,, D4 IVG' dd2✓, FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: 1 acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing techniques. PERMISSION TO ENTER ON LAND: I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. This application includes: general information (this form), a site drawing as described on the back of this application, the ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any information as may be provided orally by the applicant. The details of the application as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action. This the 40 day ofk , 2009 Landowner or pe son aut orized to act as his agent for purpose of t ' a AMA permit application 1� SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor development permit. The Local Permit Officer will help you, if requested. PHYSICAL DIMENSIONS ❑ Label roads ❑ Label highways right-of-ways ❑ Label local setback lines ❑ Label any and all structures and driveways currently existing on property Label adjacent waterbody PHYSICAL CHARACTERISTICS ❑ Draw and label normal high water line (contact LPO for assistance) 191braw location of on -site wastewater system If you will be working in the ocean hazard area: ❑ Draw and label dune ridges (note spot elevations) ❑ Draw and label toe of dunes I A ❑ Identify and locate first line of stable vegetation (contact LPO for assistance) ❑ Draw and label erosion setback line (contact LPO for assistance) ❑ Draw and label topographical features (optional) If you will be working in a coastal shoreline area: ❑ Show the roof overhang as a dotted line around the structure ❑ Draw and label landward limit of AEC ❑ Draw and label all wetland lines (contact LPO for assistance) ❑ Draw and label the 30-foot buffer line DEVELOPMENT PLANS ❑ Draw and label all proposed structures [ir raw and label all areas that will be disturbed and/or landscaped [Note size of piling and depth to be placed in ground ❑ Draw and label all areas to be paved or graveled �J 3- ❑ Show all areas to be disturbed ❑ Show landscaping NOTE TO APPLICANT Have you: • completed all blanks and / or indicated if not applicable? • notified and listed adjacent property owners? • included your site drawing? • signed and dated the application? • enclosed the $100.00 fee? • completed an AEC Hazard Notice, if necessary? (Must be signed by property owner) FOR STAFF USE Site Notice Posted Final Inspection Fee Received Site Inspections Date of Action: Issued Exempted Denied Appeal Deadline (20 days) O l51 CRAVEN COUNTY DOES NOT WARRANT THE INFORMATION SHOWN ON THIS MAP AND Feef SHOULD BE USED ONLY FOR TAX ASSESSMENT PURPOSES. INQUIRY YEAR 2009 �oA1) A��R�ss. Curt W & AUDREY A 102 8-201 -0Si J A & PATRIC D ADA.MAKIS, GEORGE PETER 8-201-7-MI 7 HONEYCU SHEILA 8-201-7 GONZALEZ. SEA & IRIS T GA1a 1 3 , JQkCEA 8-201-7 MILLS,, 8-201-7-013 � RIVER BEND - TOWN OF I: 8-201-7 -W5-A CRILLY. MARG, 8-201-7 47 ' PORTOFE, AMY M PI 8-201-7 31 ROYSTER, jm CUMMINGS, Gwy H & LINDA E 07 SGWEQ 8-201 -023 /A 1<w RIVER BEND TOWN OF rlb C 8-201 -022 POPE, C H JR rF & TI NY Al THE CRAVFN COUNTY GEOGRAPHIC INFORMATION SYSTEM W Z / db C r o v e n County Geographic Infarmation System Parcels mapped as of July 20, 2009 A S 4 0 0 Year: 2010 C r o v e n County does NOT warrant the information shown on this pagge and should be used ONLY for tax assessment purposes. Printed July 20, 2009 Parcel ID . . . . . : 8 — 2 0 1 — 0 2 P Parcel Ref 1 28634 Recorded Owner Name RIVER BEND — TOWN OF Mailing Address 4� SHORELINE DR NEW 8 E R N NC 28562 Property Address Property Legal Description: ODD FELLOWS FARM Lot Dimension Description RLC0RDING Information Date : 9 11 1996 Book : 1 13 1 Page : fi19 Plat C o b i n e t Slide Number — Estate Number VALUE Information for 2009 Land value . . . 256,000 BuiIdjng value 700 Total value . 256,700 Tax Exempt . : YES Number of Recycling fees 0 ACREAGE Information Calculated acres Deeded acres Survey acres Assessed acres City code Fire district Special service S o n i t a t i o n district Drainage district Zone code L o n d Use code Neighborhood id 10.236 10.24 River Bend Utility — G o v e 8 2 W A Land and Building / Improvement information is not available for 2010 Select o prior year and try this option again. Pr In fed h. NA P PINC7 usr na the Craven Caun 1. Geo a a o h is Inf orma lion Sr stem C r o v e n County Geographic Information System Parcels mapped as of July 20, 2009 A S 4 0 0 Year: 2010 Craven County does NOT warrant the information shown on this paga and should be used ONLY for tax assessment purposes. Printed July 20, 2009 Parcel ID . . . . . : 8 — 2 0 1 — 0 2 2 Parcel Ref 1 28633 Recorded Owner Nome POPE, C H JR & RIVER BEND — TOWN OF Mailing Address 262 SHORELINE DR NEW BERN NC 28562 Property Address Property Legai Description: ODD FELLOW LD Lot Dimension Description RECORDING Information Date 12 1 1998 Book 1664 Page : 1029 Plat Cabinet Slide Number — Estate Number (VALUE Information for 2009 Land value . . . 1,050 Building value 0 Total value . 1,050 Tax Exempt . : NO Number of Recycling fees 0 ACREAGE Information Calculated acres Deeded acres Survey acres Assessed acres 2.24 : 2.24 City code Fire district Special service S o n i t a t i o n district Drainage district Zone code Land Use code Neighborhood id River Bend Vacant — Mapped 8 2 W A Land and Building / Improvement information is not available for 2010 (Select a prior year and try this option again. Printed hr YAPPING2 ssinu the Craren County Geoarsohio Inlermr t Srslem W Craven County Geographic Information System Parcels mapped as of July 20, 2009 A S 4 0 0 Year: 2010 Craven County does NOT warrant the information shown on this paga and should be used ONLY for tax assessment purposes. Printed July 20, 2009 Parcel ID . . . . . : 8 — 2 0 1 — 0 5 7 Parcel Ref 1 41354 Recorded Owner Name ADAMAKIS, G E 0 R G E PETER Mailing Address PO BOX 12411 NEW B E R N NC 28561 Property Address 210 GULL P 0 1 N T E Property Legal Description: 2 D I V 3 GULL P 0 1 N T E LANDING Lot Dimension Description RECORDING Information Date 4 30 2001 Book 1816 Page 898 Plat Cabinet Slide Number — Estate Number VALUE Information for 2009 . Land value . . . 74,750 Building value 107,760 Total value . 182,510 Tax Exempt . : NO Number of Recycling fees 1 ACREAGE Information Calculated acres Deeded acres Survey acres Assessed acres City code Fire district Special service Sanitation district Drainage district Zone code Land Use code Neighborhood id 3.654 3.7 River Bend 01 Residential — 0 8 2 W A Land and Building / Improvement information is not available for 2010 Select o prior year and try this option again. Pr in tetl be 9 A P P I N G 2 using the Cr aeen Coun lr Ge oar 0ohia Information Sv stem LNJ �16 Z,—:� x IJA Craven County Geographic Information System Parcels mapped as of July 20, 2009 AS40O Year: 2010 Craven County does NOT warrant the information shown on this paga and should be used ONLY for tax assessment purposes. Printed July 20, 2009 Parcel ID 8-2.01-7 — 0 0 5 — A Parcel Ref 1 33014 Recorded Owner Name CRILLY, MA.RGARET C Mailing Address 10D- SANUP. ER CT NEW B E R N NC 28562 Property Address 105 SANDPIPER Property Legal Description: PT 5 — A REVISED T R E N T BAY ESTATES Lot Dimension Description RECORDING Information Dote : 8 19 2008 Book : 2751 Page 739 Plat Cabinet Slide Number — Estate Number VALUE Information for 2009 L o n d value . . . 19,890 Building value 112,940 Total value . 132,830 ITax Exempt . . . . : NO Number of Recycling fees 1 ACREAGE Information Calculated acres Deeded acres Survey acres Assessed acres City code Fire district Special service Sanitation district Drainage district Zone code Land Use code Neighborhood id 0.536 0.57 River Bend 01 Residential — 0 8 2 1 A IL and and Building / Improvement i n f o r m o t i o n is not available for 2010 Select a prior year and try this option again. Pr in led ha YAPPINGI using the Gr 0tan GounIY Ge o9r c p h i c Information Sps f em. INQUIRY YEAR 2009 Craven County Ceogrophic Information System Parcels mapped as of July 20, 2009 A S 4 0 0 Year: 2010 Craven County does NOT warrant the information shown on this pagge and should be used ONLY for tax assessment purposes. Printed July 20, 2009 Parcel ID . . . . . : 8-70.1-7 —005-8 Parcel Ref # 35789 Recorded Owner Name R0YSTER, 0 A V I D Mailing Address 107 SANDPIPER CT NEW B E R N NC 28562 Property Address 107 SANDPIPER Property Legal Description: 5 — B REVISED T R E N T BAY ESTATES Lot Dimension Description RECORDING Information Date 3 17 2003 Book 2013 Page : 448 Plat Cabinet Slide Number — Estate Number VALUE Information for 2009 Land value . . : 58,500 Building value 117,250 I. Total value 175,750 Tax Exempt . : NO Number of Recycling fees 1 ACREAGE Information Calculated acres Deeded acres Survey acres Assessed acres City code Fire district Special service Sanitation district Drainage district Zone code Land Use code Neighborhood id 0.885 0.88 River Bend O1 Residentic. — C' 8 2 W A Land and Building / Improvement information is not available for 2010 Select a prior year and try this option again. b Pr in te4 ba YAPPING2 usinu the Cr 4r en Coc r, It Ge aqr a Dc Ia(o 1 mo ti 0n 5Y 5tem. NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date 7/31/09 Name of Property Owner Applying for Permit: Town of River Bend Mailing Address: 45 Shoreline Drive River Bend, NC 28562 I certify that I have authorized (agent) x e v e n Jones to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) Install replacement pilings/supports for effluent discharge pipe. at (my property located at) Gull Pointe, River Bend ( map 8-201-023 ) This certification is valid thru (date) October 1, 2009 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper TOWN OF RIVER BEND 45 Shoreline Drive, River Bend, NC 28562-8970 Phone (252)638-3870 Fax (252)638-2580 Web Page: www.riverbendnc.org July 27, 2009 C.H. Pope, Jr. 262 Shoreline Drive River Bend, NC 28562 Dear Mr. Pope: I am writing to seek your assistance in our effort to make urgent repairs to the effluent discharge line at our Wastewater Treatment facility on Gull Pointe in River Bend. Because you are an adjacent landowner, the Coastal Management Division of the North Carolina Department of Environment and Natural Resources requires that we notify you of our intent to obtain a permit to work in the riparian area along the Trent River. The project, as described in the enclosed statement, calls for the replacement of 38 pilings that support 19 cross -members that elevate the pipe. Over the years, these pilings have begun to decay and are at the point where we are unsure of their ability to survive severe weather events. Our contractor will place a small platform on the ground along one side of the pipe to support the mini -excavator he will use to install the new pilings and remove the old ones. Once he is done, he will remove the platform and properly dispose of the old pilings. He will endeavor to disturb as small an area as possible when performing this work in recognition of the environmental sensitivity of this area. I ask that you take the time to review the enclosed statement form, and if you have no objections to the project we are pursuing, sign and return one of the copies of the form in the enclosed envelope. If you have any questions or concerns, you may reach me at 638-3870 x-213 or via e-mail at managerP,riverbendnc. org. I thank you in advance for your prompt attention to this matter which will allow us to submit our permit application and to make these needed repairs. ;Sincerely, ffaVvens., w Town Manager ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _Town of River Bend 's (Name of Property Owner) properly located at Gull Pointe Lot 8-201-023 , (Lot, Block, Road, etc.) on Trent River ,in River Bend N.C. (Waterbody) (Town and/or County) Applicant's phone#: 638-3870 Mailing Address: 45 Shoreline Drive River Bend, NC 28562 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 property owner proposing development) Replacing 38 pilings that support 19 cross -members that elevate a ductile iron effluent discharge pipe running from the wastewater treatment plant to the Trent River. The operation will involve installing new pilings using a mini -excavator, and removing and disposing of the old pilings. The contractor will only disturb a m1nimal amount of vegetation to allow a small track to be put in place to support the mini -excavator. (Information for Property Owner Applying for Permit) 45 Shoreline Drive Mailing Address River Bend, NC 28562 City/State/Zip 252-638-3870 Tej,aphone Numb /z, Sign ure a e (Riparian Property Owner Information) Signature DrovA) 1_?0/57702 Print or Type Name ��►�� 257 3Ll9 "858 Telephone Number a 7 51,rlJ r--IpC 2 cT- Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Town of River Bend is (Name of Property Owner) property located at Gull Pointe Lot 8-201-023 , (Lot, Block, Road, etc.) on Trent River. ,in River Bend N.C. (Waterbody) (Town and/or County) Applicant's phone # 638-3870 Mailing Address: 45 Shoreline Drive River Bend, NC 28562 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 property owner proposing development) Replacing 38 pilings that support 19 cross -members that elevate a ductile iron effluent discharge pipe running from the wastewater treatment plant to the Trent River. The operation will involve installing new pilings using a mini -excavator, and removing and disposing of the old pilings. The contractor will only disturb a m1nimal amount of vegetation to allow a small track to be put in place to support the mini -excavator. (Information for Property Owner Applying for Permit) 45 Shoreline Drive Mailing Address River Bend, NC 28562 City/State/Zip 252-638-3870 Tele hone Numbe 2 (,,Sign ture ate (Riparian Property Owner Information) c Signature �►�� C F��c= j C � � l�.G�� Print or Type Name Telephone Number a3i fI Date - Hou NUMBER -3, SPYGLASS HILL' Go- COURSE KEVEN A JONES �sassst�' P.O. BOX511 p' MAYSVILLE, NC 28555 DATE m'. PAY 3-0 THE ORDER OF._------- DOLLARS 1 ✓ ' �fEOFR�Eti Gt28532 q fK _ F Y: 2 5 3 L 7 5 38 ►,l: L080 L L L 7 600 311- 3 2 12 COMPLETE ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. X ■ Print your name and address on the reverse so that we can return the card to you, g, 'ved b ■ Attach this card to the back of the ma(lpiece, or on the front if space permits. 1. Article Addressed . ill � �}- ❑ Agent ❑ Addre Name) C. Date of pelf D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ,421 6ertified Mail O Express Mail El Registered 01Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D, 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number �1 /� (Transfer from service label) �O 61 3//d 0 G a// �j / 7 / PS Form :3R' z004 Domestic Return Receipt 102595-02-M-1540 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: pu C 'JUL 312009a�5� A. Signature , X I,. ❑ Agent ❑ Addressee B. 4d by Pri a e) C. Date of Delivery D.. Is Oje ery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Serves Type Certified Mail ❑Express Mail O Registered eturn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7ag9 2 //DO 00 j � lG� �J Y / �� (Transfer from service lab-1) ` r %" / [ / (O PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �y JUL 3 A. Signature ❑ Agent X O Addressee B. Re ive r`(PTVt Name) C. Date o� f Delivery �/M! rl �1v7 D. Is delivery add4s different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. &vice Type AKI Certified Mail ❑ Express Mail dd Registered )K.Retum Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4, Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 74 q 9� d©jr S/ q 7 74 8s (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 Design !Build Accepts All Major Maintenance Credit Cards Snow Management Member of ALCA & TCNC 8 SIMA Pesticide Licensed Insured 16 yrs &Growing Keven Jones ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ` j �TLID. , Tr ag�Gz AUG 0 3 2D09 A. Si nature Agent ❑ Addressee B. Received by ( Printed Name) C. Date of Delivery 4-b.MVI 40 81,3107 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3, Service Type ,O-Cgrtified Mail ❑ Express Mail ❑ Registered —iTRetum Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Q fN�jVER BEND W 3 �y 6 (transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 JONEIS Lawn & Landscaping P.O. Box 511 Maysville, NC 28555 Mobile (910) 934-9587