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HomeMy WebLinkAbout44252_NC DOT_20060213 (2)V CAMA / 9 DREDGE & FILL �j 1N/0 44252 GENERAL PERMIT Previous permit# �v /7 New ❑Modification ` ❑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 o %14 r 2 3(-)0 (� � n ,Rules attached. Applicant Name I V C OPT Project Location: County 1�� ►2t� Address _ Q `� p1C g -7 Street Address/ State Road/ Lot #(s) N C- 3 C� <<>� City_ �7rpCt1J; I _StateziP Z 93gl 0IC_C_ircss U-,t\4Qwgre_Ge-k!c_ Phone # (25Z) 930 3gc{(0 Fax # ( ) Subdivision Authorized Agent J L �1 c7 v� $ City �� Ct �� F �" �" Z ZIP Affected Sd CW 9 EW .i< PTA -KES KPTS Phone # ( ) River Basin l OEA ❑ HHF ❑ IH 1-1UBA ❑ N/A AEC(s): - Adj. Wtr. Body c1 i /m an unkn ❑ PWS: ❑ FC: � ay R I' � ORW: yes / no PNA < T@ / no Crit. Hab. yes / no Closest Maj. Wtr. Body Agent or Applica Printed Name Signature Please read compliance statement on back of permit I oo" (A-S 37711 ADDlication Fee(sl Permit Officer's Signature 1 uE Issui D E irati Date Local Planningjurisdiction Rover File Name NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary March 1, 2006 Jay Johnson P O Box 1587 Greenville, NC 27834 Dear Mr. Johnson: Attached is General Permit #44252C and 44253C In order to validate this permit, please sign the permit as indicated. Retain the white copy for your files and return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit copies are not returned to this office before the initiation of development, you will be working without authorization and will be subject to a Notice of Violation and subsequent civil penalties. We appreciate your early attention to this matter. Sincerely, Bill Arrington Coastal Management Representative lsb Enclosures 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net DOT PERMIT FEE BILLING REQUEST Date: 2/13/06 To: Jaye Poole From: Bill Arrington Transfer Amount: $100.00 DOT Project Description: General Permit Application for replacing Bridge over Vandemere Creek in Pamlico County Bridge #: 31 Site Location: NC 304 in Pamlico County at Bridge No. 31 crossing Vandemere Creek, in the community of Vandemere, in Pamlico County. State Road #: NC 304 County: Pamlico County DCM Permit Type and Number: General permit 44252 Fee Division if Applicable: (record amounts to be split with DWQ, if applicable) DCM: 100% DWQ: 0% WBS Element Number:.37711 . Form DCM-MP-5 BRIDGES AND CULVERTS $100.00 Processing Fee NCDOT WBS NO.37711 Attach this form to Joint Application for CAMA Major Permit, Form DCM-MP-1. Be sure to complete all other sections of the Joint Application that relate to this proposed project. 1. BRIDGES a. Public X Private b. Type of bridge (construction material) 21" Concrete Cored Slab c. Water body to be crossed by bridge Vandemere Creek d. Water depth at the proposed crossing at MLW or NWL 7.8' g. Length of proposed bridge 120' h. Width of proposed bridge 33' CLEAR ROADWAY Height of proposed bridge above wetlands 4.6' Will the proposed bridge affect existing water flow? _ _Yes X No If yes, explain k. Navigation clearance underneath proposed bridge 4.6' 1. Will the proposed bridge affect navigation by reducing or increasing the existing navigable opening? Yes X No If yes, explain m. Will the proposed bridge cross wetlands containing no navigable waters? Yes X No If yes, explain e. Will proposed bridge replace an existing bridge? X _Yes No If yes, n• (1) Length of existing bridge 87' (2) Width of existing bridge 28.1' CLEAR ROADWAY (3) Navigation clearance underneath existing bridge 4.6' (4) Will all, or a part of, the existing bridge be removed? (Explain). ALL f. Will proposed bridge replace an existing culvert(s)? Yes X No If yes, (1) Length of existing culvert (2) Width of existing culvert (3) Height of the top of the existing culvert above the MHW or NWL (4) Will all, or a part of, the existing culvert be removed? (Explain) Have you contacted the U.S. Coast Guard concerning their approval? Yes X No If yes, please provide record of their action. 2. CULVERTS N/A a. Water body in which culvert is to be placed b. Number of culverts proposed c. Type of culvert (construction material, style) d. Will proposed culvert replace an existing bridge? Yes _ _ No If yes, (1) Length of existing bridge (2) Width of existing bridge Revised 03/95 Form DCM-MP-5 (3) Navigation clearance underneath existing bridge 4.6' (4) Will all, or a part of, the existing bridge be removed? (Explain) N/A e. Will proposed culvert replace an existing culvert?N/A Yes No If yes, (1) Length of existing culvert (2) Width of existing culvert (3) Height of the top of the existing culvert above the MHW or NWL (4) Will all, or a part of, the existing culvert be removed? (Explain) f. Length of proposed culvert g. Width of proposed culvert h. Height of the top of the proposed culvert above the MHW or NWL Will the proposed culvert affect existing water flow? Yes _ No If yes, explain Will the proposed culvert affect potential? Yes , No If yes, explain existing navigation 3. EXCAVATION AND FILL a. Will the placement of the proposed bridge or culvert require any excavation below the MHW or NWL? _Yes X No If yes, (1) Length of area to be excavated (2) Width of area to be excavated (3) Depth of area to be excavated (4) Amount of material to be excavated in cubic yards b. Will the placement of the proposed bridge or culvert require any excavation within: N/A Coastal Wetlands _ SAVs _Other Wetlands If yes, (1) Length of area to be excavated (2) Width of area to be excavated (3) Approximate area to be excavated c. Will the placement of the proposed bridge or culvert require any high ground excavation? X Yes No If yes, (1) Length of area to be excavated 32.1' (2) Width of area to be excavated 32.1' (3) Amount of material to be excavated in cubic yards 1030 SQUARE FEET d. If the placement of the bridge or culvert involves any excavation, please complete the following: (1) Location of the spoil disposal area Temporary spoil area is existing road bed (2) Dimensions of spoil disposal area 20' x 20' (3) Do you claim title to the disposal area? X Yes No If no, attach a letter granting permission from the owner. (4) Will the disposal area be available for future maintenance? X Yes No (5) Does the disposal area include any coastal wetlands (marsh), SAVs, or other wetlands? Yes X No If yes, give dimensions if different from (2) above. (6) Does the disposal area include any area below the MHW or NWL? Yes X No If yes, give dimension if different from No. 2 above. e. Will the placement of the proposed bridge or culvert result in any fill (other than excavated material described in Item d. above) to be placed below MHW or NWL? Yes X No If yes, f (1) Length of area to be filled (2) Width of area to be filled (3) Purpose of fill f Will the placement of the proposed bridge or culvert result in any fill (other than excavated material described in Item d. above) to be placed within: X Coastal Wetlands SAVs X Other Wetlands If yes, (1) Length of area to be filled _ 25' (2) Width of area to be filled 2' (3) Purpose of fill 50 Square Feet 415 Square Feet of 404 Wetland Impacts g. Will the placement of the proposed bridge or culvert result in any fill (other than excavated material described in Item d. above) to be placed on highground? Yes X No Revised 03/95 . Form DCM-MP-S If yes, (1) Length of area to be filled (2) Width of area to be filled (3) Purpose of fill 4. GENERAL a. Will the proposed project involve any mitigation? Yes No X If yes, explain in detail b. Will the proposed project require the relocation of any existing utility lines? Yes X No If yes, explain in detail c. Will the proposed project require the construction of any temporary detour structures? Yes X No If yes, explain in detail d. Will the proposed project require any work channels? Yes X No If yes, complete Form DCM-MP-2 e. How will excavated or fill material be kept on site and erosion controlled? Silt fence f. What type of construction equipment will be used (for example, dragline, backhoe or hydraulic dredge)? Typical Bridge construction equipment g. Will wetlands be crossed in transporting equipment to project site? Yes X No If yes, explain steps that will be taken to lessen environmental impacts. h. Will the placement of the proposed bridge or culvert require any shoreline stabilization? X _Yes No If yes, explain in detail Rip Rap at Each End of Proposed Bridge NCDOT-Pamlico #31 Bride Re lacement on NC 304 Applicant or Proi ame Signature Revised 03/95 Date 12/27/05 BRIDGE W31 NORTH CARODNA WULYVILLE , • ASH CORNEk POP.100 ,' s ' I � VANDEMERE 1217 VICINITY MAPS � � 0 MESIC POP. 253 i . Bear C� l NJ NCD®T DIVISION OF HIGHWAYS PAMLICO COUNTY PROJECT: MA-2003 REPLACE BRIDGE P31 ON NC 304 OVER VANDEMERE CREEK SHEET OF 2/ 15//05 VANDEMERE USGS QUAD MAP -444 4k fi � �, � --';�• • �.. .-pax. � ..� �.. PROJECT ` -13 M 5 ,. 46 �t J * 0 437.5 875 1,750 2,625 3,5Q-O 9 ` PROPERTY OWNERS WEYHAEUSER,INC. N vvAl T MELVIN RAY SUGG MRS. CLAUDE CARAWAN HEIRS] LOUISE P. GOODIN 0 437.5 875 1,750 2,625 3,5 %et PROPERTY OWNERS NAMES AND ADDRESSES REFERENCE NO. NAMES 1 WEYERHAEUSER CO. 2 MELVIN RAY SUGG 3 LOUISE P. GOODING ADDRESSES P.O. BOX 1391 NEW BERN, NC 28563 6583 GUM SWAMP RD AYDEN, NC 28513 6166 NC 55 HWY E NEW BERN, NC 28560 967 LEE FARM RD I CLAUDE CARAWAN HEIRS ORIENTAL, NC 28571 LEGEND -WLB WETLAND BOUNDARY PROPOSED BRIDGE L WL WETLAND PROPOSED BOX CULVERT DENOTES FILL IN WETLAND PROPOSED PIPE CULVERT 12'-48' DENOTES FILL IN (DASHED LINES DENOTE PIPES SURFACE WATER EXISTNG STRUCTURES) 54'PIPES & ABOVE DENOTES FILL IN SURFACE WATER (POND) SINGLE TREE ®DENOTES TEMPORARY FILL IN WETLAND WOODS LINE DENOTES EXCAVATION IN WETLAND DRAINAGE INLET TEMPORARY ®DENOTES FILL IN SURFACE - WATER - ROOTWAD DENOTES HAND CLEARING * * * * * * * DENOTES MECHANIZED RIP RAP CLEARING FLOW DIRECTION TB TB- TOP OF BANK - WE EDGE OF WATER - - C - - PROP. LIMIT OF CUT - - -F- - PROP. LIMIT OF FILL �- PROP. RIGHT OF WAY - - NG- - NATURAL GROUND - - PL- - PROPERTY LINE -TDE- TEMP. DRAINAGE EASEMENT -PDE - PERMANENT DRAINAGE EASEMENT - EAB- - EXIST. ENDANGERED ANIMAL BOUNDARY - EPB- - EXIST. ENDANGERED PLANT BOUNDARY - - 0 - - - WATER SURFACE XX XX X X XLIVE STAKES O BOULDER - - - CORE FIBER ROLLS 5 ADJACENT PROPERTY OWNER OR PARCEL NUMBER IF AVAILABLE ® PREFORMED SCOUR HOLE LEVEL SPREADER (LS) 31-DITCH GRASS SWALE DENOTES IMPACTS TO vzm BUFFER ZONE 1 DENOTES IMPACTS TO BUFFER ZONE 2 NCDOT DIVISION OF HIGHWAYS PAMLICO COUNTY PROJECT: MA-2003 REPLACE BRIDGE "31 ON NC 304 OVER VANDEMERE CREEK EMDENOTES AREA TO BE EXCAVATED SHEET OF 2/15/051 SILT BASIN TYPE 'S' LEGEND SHEET WETLANDS DIFFUSE FLOW THROUGH VEGETATED UPLANDS BEFORE ENTERING WETLANDS \\\ SOE. EROSION CONTROL LEGEND. iTYPICAL EACH SHEET TEMPORARY ROCK SILT CHECK H- I w > Q ,...n. SILT BASIN TYPE B TYPE -A UPLANDS w I a Lu w u O ' TEMPORARY ROCK SILT CHECK TYPE -A Q W TEIPIXURT ROCK SILT CHECK TYPE-B W I W-•<o-•..-• TEMPORARY SILT FENCE SILT BASIN TYPE-B o w I GRADE BREAK i w - � ( } IRREcnoN of FLOW II I' ------ WOODSLINE DIFFUSE FLOW DETAIL - DIFFUSE FLOW NTS -------- 404 WETLANDS FILL AREA TENPINFIARY ROCK vl.Li CHECK TYPE 'B TEMP. 01 DITCH dlE �j l� �EDa OF PAVEMENT a ATRVCTURAL STONE BUIE I80METRIC VIP,R 1 YIN. NAi11 "L o ffffu CHOE! SECTION YEN DITCN 30 MPrEB - _� - NEUSE RIVER RIPARIAN BUFFER m[� —------- 404 WETLANDS -- COASTAL WETLANDS GL GL ---- GRASS LINED CHANNEL ---- OPEN WATER IMPACTS o. .... .. _. SECTION A-S T Uaa SECTION A -A mAL TEMPORARY ROCK SILT CHECK TYPE -A BASE OF D17CH NATURAL OROUND _ TRAP OPTIONAL TYPE '111' v� SABIN TRAPEZOIDAL DITCH rm ELEVATION VIEW .. PROPOSED SILT FENCE WETLAND VAR.0'-6' EDGE OF EXIST, ROAD UTILITIES LEGEND, TYPICAL EACH SHEET POWER POLE AG 171 TELEPHONE PEDESTAL © CABLE TV PEDESTAL (+ SEWER CLEAN OUT ® WATER VALVE FIRE HYDRANT 0 WATER METER EIPO EXISTING IRON PIPE + PROPERTY CORNER —R PROPERTY LINE GRASS -LINED CHANNEL TRAPEZOIDAL DITCH SECTION Z= X-SECTION AREA (A)= BD +ZD TOP WIDTH (T)= B * 2OZ EXISTING FILL AREA TO BE FILLED OR UNDISTURBED AREA DISTURBED 7GRA FABRIC EXIST SILT FENCE DETAIL NTS PROPOSED SILT FENCE I -k y ± VAR.O'-6' I WETLAND EDGE OF EXIST. ROAD VAI DIM LEGEND SHEET SPECIAL SEDIMENT CONTROL FENCE 3 FT. CONTROL STONE MIN. /4 SEDIMENT CONTRO I FT. MIN. WATER FLOW �i cEL POST - 2 FT. DEEP WOOD POST - 3 FT. DEEP GENERAL NOTES: USE NO.3 OR NO.57 STONE FOR SEDIMENT CONTROL AND PAY FOR AT THE CONTRACT UNIT PRICE PER TON SEDIMENT CONTROL STONE USE HARDWARE CLOTH 24 GAUGE WIRE MESH WITH %4 INCH MESH OPENINGS INSTALL 5 FT. SELF FASTENER ANGLE STEEL POST 2 FT.DEEP MINIMUM INSTALL 6 FT. LONG, 3 IN. DIA. WOOD POSTS 3 FT.DEEP MINIMUM TURBIDITY CURTAIN PUMP SILT BAG SPACE POSTS A MAXIMUM OF 3 FT. PROJECT No. MA-2003 CROSS SECTION DATE: 8-03-2005 OF BRIDGE Now 31 ROAD: NC 304 E=TIIYG BRIDGE SPANS: 1 @17'-8'; 1 @17'-2 ; 1 @16'-IO ROAD NAME. NC 304 OVER LITTLE VANDEMERE CREEK 1 @17 3'; 1 @18-I" COUNTY: PAMLICO 87' NC 304 4.6' 1.6' NS EXISTING HEADWALL 7.8' E EXISTING HEADWALL NOT TO SCALE PROPOSED ZI " CONCRETE CORED SLAB PROPOSED LENGTH:3 @ 40' 33' CLEAR ROADWAY O DECK DRAINS ALLOWED 120' 4 40 40' }�E NC 304 �7 PROPOSED RIP RAP 4. 7t2 0 LPROPOSED If RAP 1 ir NS EXISTING HEADWALL 7.8' EXISTING HEADWALL PROPOSED HEADWALL NOT TO SCALE PROPOSED HEADWALL ` AREA I CAMA GP APPLICATION DENOTES AREA TO BE EXCAVATED RETAIN ALL BZI IMPACT = 330 SF FILL REMOVAL = 238 SF W Ir8 o EXISTING DITCHES BZ2 IMPACT = 80 SF Q Q FILL REMOVAL = 0 SF 20 30 WEi B FOR PERMITTING ONLY co ZONE BUFFER BUFFER j NOT FOR CONSTRUCTION �O NZONE MELVIN RAY SUGG '+^ 6583 GUM SWAMP ROAD r rL O> AYDEN.NC 28513 o CLASS I I RIP RAP � � JFEEP OV�NE2 W/ FILTER FABRIC � (TYP.) — + AREA 2 30 2 �, MARSH rn w WEYERHAEUSER)NC. -! MARS sf P.O.BOX 1391 FILILM EMOvALPACT = i60277 sf pp NEW BERN, NC 28563 �^ rn BZ2 IMPACT = 200 sf WWo S FILL REMOVAL = 0 sf 404 WETUWDS/MPACT .20 FEE 1 COASTAL WETLANDS IMPACT - 30 SOU FE � —FILL IN SURD E R FI MOVAL AL WETLANDS IMPACT - 20 SaJARE F 404 WETLANDS (6Q SQ. FT.) F FER ZONE I\_2404 M/ET OSt�w v/—PACT - ?a7S�u RA E FEET C7 DITCH C-- __ AMA NE C --d-a- N63°47'59.3'E --- -- ' - - CONC BRIDGE '31 +"� 404 (404)A2 UNE _ F TO NC 307 F' I I I I I e _L_ N57°38'31.0"E NC 304 AC 504 -` CAMA & 404 UNE __ _______ �-- - - - - Cl Cl2 I LAMA & 404 UNE — Tvi- - - I H F C9 f_ 4" CON I RAP TO SR 1222 —_� DITCH _-_--------�_W - - -- (I 0. FT.) FILL IN S9 ACI AJER AREA 4 (108 SO, FT-) m LX 6, GHLc�-- BZI IMPACT = 260 sf ±MARSHY �o BM #1 i MHO® FILL REMOVAL = 238 sfi LOUISE P.GOODING n, -BL- STA 13+54.0 WOODS as woods 6166 NC HWY 55 EAST BZ2 IMPACT = 70 sf 32.24 RIGHT i NEW BERN.NC 28560 FILL REMOVAL = 0 sf � � � � ELEV. 2.74' � � � USE METHOD II FOR CLEARING 404 WETLANDS FILL SURFACE WATERS FILL 30' BUFFER MARSH 20' ZONE ZONE ! BUFFER AREA 3 BUFFER 30' ZONE 2 AREA 1 205 SQUARE FEET AREA 1 58 SQUARE FEET zoNE 2 BZI IMPACT = 3 AREA 2 210 SQUARE FEET AREA 2 0 SQUARE FEET 20, = 7 FILL REMOVAL = s sf TOTAL: 415 SF 0.009 AC BZ2 IMPACT = 36 sf AREA 3 99 SQUARE FEET ,� MRS CLAUDE CARAWAN,HEIRS FILL REMOVAL = 0 sf CAMA WETLANDS FILL ORIENTAL NC 27 LEE FARM �� AREA 1 30 SQUARE FEET AREA 4 99 SQUARE FEET WE re NOTE:vANDEMERE CREEK IS A BLUE LINE AREA 2 20 SQUARE FEET TOTAL 256 SQUARE FEET WE re STREAM AS SHOWN ON THE TOTAL: 50 SF 0.001AC 0.006 ACRES VANDEMERE USGS QUAD MAP ZONE I BUFFER IMPACTS ZONE 2 BUFFER IMPACTS NCDOT EXISTING BRIDGE: AREA 1 330 SQUARE FEET AREA 1 80 SQUARE FEET SPANS: IV7'-8% IV7'-2"; 166'-10"; IV7-3% I@18-1' DIVISION OF HIGHWAYS AREA 2 160 SQUARE FEET AREA 2 200 SQUARE FEET LENGTH DTH: 28 I' GEAR ROADWAY PLAN VIEW PAMLICO COUNTY TIMBER CAPS AND PILES PROJECT:MA-2003 AREA 3 350 SQUARE FEET AREA 3 36 SQUARE FEET SCALE: 1" - 50, REPLACE BRIDGE '31. AREA 4 260 SQUARE FEET AREA 4 70 SQUARE FEET PROPOSED BRIDGE: ON NC 304 OVER VANDEMERE CREEK TOTAL 1,100 SQUARE FEET TOTAL 386 SQUARE FEET 21'CONCRETE CORED SLAB WIDTH: 33' CLEAR ROADWAY 2/15/OS 0.030 ACRES 0.009 ACRES LENGTH:31D40' SHEET OF ■ 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�W,VG 2t570 A. Sign e ;ei / A. ❑Agent Addressee 7 B. Rece' ed by (Printed Name) C. D e of li ry D. Is delivery address different from item 1? ❑ Yes if YES, enter delivery address below: ❑ No 3. Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7005 1160 0001 4343 1312 i- PS Form 3811, August 2001 Domestic Return Receipt 2ACPR.i-03-P-4081i UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • /v-c- �a r � -a✓iJ V� j��� IV C 7 -7 g 3 ��jk?!??Efiiflfff{}I€?itli?iliFiFf?FciFlfFfi}:?i'{e?Y"Z die /3 yb Cvn �7= UNITED STATES POSTAL SERVIC�~ 0 tJ ' �� �� �� �-� First -Class Mail LISPS e 8 Fees Paid Permit No. G-is • Sender: Please print y6ur name; address, and ZIP+4 irrthis'box • N GDa i GrZE,E4J q i 1� e-1 SSG Z7g 3 CQ-U-. ■ Compleie 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: -770 ?/U07-r Rd. 910vC-F-57-F-4 I WC- -7 9 5; Z- 9 A. Sig ature ?! Agent l; x ❑ Addressee ve (Printed Name) C. ate f Delivery D. Is delivery address different from item 1? ❑ Yes if YES, enter delivery address below: ❑ No 3. Service Type certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7005 1160 0001 143143 1299 (Transfer from service lat PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03-P-4081 UNITED STATES POSTAL SERVICE First -Class Mail Postage & FPes Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • J� /-Y'G _2�v 7- IV III //,'/ /,/ 7-783 ,1 N;An. pk COMPLETE THIS SECTION ■ 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: jf x>S 3 5 3 3 ?1 aAA&e.le- )A b P-Y, liG Z7511 A. /�/ Agent Addressee B. Received by (Printed Name) C. Date of Delivery ? D. Is delivery address different from item 1? ❑ Yes if YES, enter delivery address below: ; No 3. Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number r (Transfer from service label) 7005 1160 0001 4343 1305 PS Form 3811, August 2001 Domestic Return Receipt 2ACPRi-03-P-4081; ■ 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 1. Article Addressed to: �o U G�.45S m �12�5 3 &5 5mp- CO UUR agss3 A. Signature X Ly��� t ❑Agent ❑ Addressee eceived y (Printed a e) C. Date of Delivery D. Is delive address different from item 1? Yes if YES, ter delivery address below: ❑ No 3. Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7005 1160 0001 4343 1282 _ PS Form 3811, August 2001 Domestic Return Receipt 2ACPRi-03-P-4061 UNITED STATES POSTAL SERVIC First-class Mail Postage & Fees Paid USPS Permit No. G-10 •Sender: Please print your. name, address, and ZI P+4 in this box • 0 h f'ss -F Z -75 34 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. t 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 t, (., gw y 5,6 z85La n A. Signature ❑ Agent X Addressee B. Received by (Pricited Name) C. Da e f Delivery / % ��18 D. Is delivery address different from ite Yes B�* if YES, enter delivery address bel o 3. Service Type -�Lertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise I; ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article (Transfer from service label) 7005 1160 0001 4343 1251 r PS Form 3811, August 2001 Domestic Return Receipt 2ACFRI-03-P ao8ta UNITED STATES POSTAL SERVICU First -Glass Mail Postag LISPSe & Fees Paid Permit No. G-10 • Sender: Please printydifhnamb, address, andZ1P+4-im- 1s'6ox • lV C- -I> o 11 Z1g3 ��»•L'' !�''• �.'• 1 ! him Ff?ilFili}iffFi3Ei!liilli?fIii?illFfi;�iFft'� Nc 5d ■ Comblete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. j ■ Print your name and address on the reverse 1 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. Article Addressed to: 2 g S -% ) A. Signature X eLtxj �j B. Received by (Printed Name) I C. D. Is delivery address different from item 1? ❑ Yes if YES, enter delivery address below: ❑ No 3. Service Type i�Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise I ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7005 1160 0001 4343 1244 PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03-P-4081 UNITED STATES POSTAL SERVICE First -crass Mail Postag USPSe &Fees Paid Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • A%C T�' a Nc- 2�s3� GS G i �! #i? ;litf iiilitEei�DPllliSElif?ilElEfitl!!£Si£S!? fiii..i££1 1 ■ 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. h ■ Attach this card to the back of the mailpiece, or on the front if space permits. _ 1. Article Addressed to: wqCf- i cA)5E2 , TNC . C/o 6AEB't' a rho (IL—�-f �. B07C 139! NEF,J ISE21.t1►J C Z8 563 2. Article Number (Transfer from service label) PS Form 3811, August 2001 ❑ Agent D. Is delivery address different from item 1?1 ❑ Ye, if YES, enter delivery address below: ❑ No 3. Serv' e Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7005 1160 0001 4343 1268 Domestic Return Receipt 2ACPRI-03-P-4081 f UNITED STATES POSTAL SERVIC�,_�Oft �`- First -Class Mail Posta e & Fees. Paid USP Permit No. G-10 4 • Sender: Please print ybs cDa[ne, address, and ZIP+4 in this box • b, S c,�(- J 5 a7 pi L IIE , Q C- 2--1 S 3 V a4 ! r4r .i'Z tolls :lilfii }}fIll iIfSfiflTltl{iFfif lI}i!!Ile ifly }if}}iti 0 Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. INPrint your name and address on the reverse so that we can return the card to you. f Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: A. Signature X ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery /46t'v 1 11 D. I eli r r ff nt from item 1? El Yes f Y ter d lliv s below: ❑ No bG 83 wm nrt� 1�d, A C Z�J��3 3. JAN 0 3 2000 erw Type l I ❑ press Mail ❑ leglst r Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7005 11 L O 0001 4343 1237 PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03-P-4081' UNITED STATES POSTAL SERVICE • Sender: Please print Fifst-Class.Mail Postage BFees'Paid USPS Permit No. G-10 address, and ZIR+4 in-Ahfis-box i nfc-J�-)c"i ?a . -2oX l587 I -F-7- l �•'�.1' !'+�;."'3 fill. 3f???if?I:f?fil??ifF?f??iIf#?f[if !?1ifr��N(i/?La'�f?f�/ t Nc- 304 -5Q)D&E gqLACAT