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HomeMy WebLinkAbout39345_NC DOT_20040723CAMA / �- 1:1 -1 DREDGE & FILL GENERAL PERMIT Previous permit # ONew DModification ElComplete Reissue E]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 15A NCAC Rules attached. Applicant Name Address City State ZIP Phone # 9 q& Fax # Authorized Agent Tc4o -s Affected - Cw DEW Q PTA D ES p PTS AEC(s): 0 OEA 0 HHF D 1H 0 UBA 0 N/A 0 Pws: El FC: ORW: yes fl no PINA yes / no Crit. Halb. yes no Project Location: County___--_ Street Address/ State Road/ Lot #(s)_ Subdivision ZIP Phone# River Basin PA-)k:5k, Adj. Wtr. Body /man /unkn Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length Platform(s) Finger pier(s Groin length number Bulkhead/ Riprap length_ avg distance offshore max distance offshore Basin, channel cubic yards - Boat ramp Boathouse/ Boatli �X HTH —LL 7 17 T c- Ct L) T— I T IV L\ r--t: --- i-- ft Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit Issuing Date Expiration Date Application Fee(s) Check # Local Plan ningJ u riscliction Rover File Name Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules Other: fVeuse 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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST 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) Morehead City District 151-B Hwy. 24 Hestron Plaza 11 Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 910-395-3900 Fax:910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 N° 39345 ❑CAMA / ElDREDGE & FILL GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit is6ued 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 7- -3 D 0 ❑ Rules attached. Applicant Name _A] c, & T Y, Address D 1 8 ox 3r.- O City c oY11U t J -Q State-A!C° ZIP b' Phone # (Oa) $?30 3 t{c%D Fax # ( ) Authorized Agent J-�LJ—Cltti S C5-- Affected ❑ CW ❑ EW PTA ❑ ES )K PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes e-M—�> PNA yes (� Crit. Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel __- cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other rl1 Z e,.�v� Shoreline Length Project Location: County G Y'4y -e- �— Street Address/ State Road/ Lot #(s) 12;-1'Jr'e 9- (��� (o I �t r S C7. L/ S LJ�f7 � I Subdivision Oar (t !`ck( City As ZIP Phone # () River Basin Adj. Wtr. Body w `�� �kle (at man /unkn) Closest Maj. Wtr. Body 1U, - R E lCc uZ X $AM not sure yes --- Sandbags: not sure yes Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no - A building permit may be required by: Notes/ Special Conditions Agent or Mplicant Printed Name Permit Officer's 7/-2 -2,/ (Scale:6vt.AMvi' o XSee note on back regarding River Basin rules. Signature ** Please read co pliant efstatementjon back of permit** Application Fee(s) Check # Date Local Planning Jurisdiction Rover File Name A� 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 July 28, 2004 NC DOT Attn: Jay Johnson P.O. Box 1587 Greenville, N.C. 27835-1587 Dear Mr. Johnson: Attached is General Permit #39345C- to replace existing 100' X 25' timber bridge with a 133' X 34' concrete slab bridge on existing alignment at the crossing of Little Swift Creek, on SR 16523 (High Bridge Road) in Askin, Craven County. In order to validate this permit, please sign all three (3) copies 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 Enclosures 151-B Hwy. 24, Hestron Plaza II, 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 Form DCM-MP-5 BRIDGES AND JUL .1 5 2004 CULVERTS Morehead City DCM $100.00 CAMA Processing Fee NCDOT WBS Element Number: 36355.1.1 Attach this form to Joint Application for CAMA Major i. Height of proposed bridge above wetlands Permit, Form DCM-MP-1. Be sure to con.plete all other 11.5' sections of the Joint Application that relat.- to this proposed project. j. Will the proposed bridge affect existing water flow? 1. BRIDGES a. Public X Private b. Type of bridge (construction material) _ X Yes No If yes, explain New bridge will allow a greater flow of water k. Navigation clearance underneath proposed bridge I ne Timber 1. Will the proposed bridge affect navigation by reducing or increasing the existing navigable c. Water body to be crossed by bridge opening? X Yes _ No Little Swift Creek _ If yes, explain Refer to " r above d. Water depth at the proposed crossing at AILW or NWL 2' e. Will proposed bridge replace an existing bridge? X _Yes No If yes, (1) Length of existing bridge 100' (2) Width of existing bridge_ 25' (3) Navigation clearance underneath existing bridge 10' _ (4) Will all, or a part of, the existing bridge be removed? (Explain). Yes, The bridge will be removed entirely. The existng bulkhead will not be removed, but left to retain riprap that will be placed behind it. 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 uxisting culvert be removed? (Explain) g. Length of proposed bridge 133' h. Width of proposed bridge 34' n.. Will the proposed bridge cross wetlands containing no nay igable waters? Yes X No If yes, explain n. 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. W:ll proposed culvert replace an existing bridge? Yes No If yes, -- (l) Length of existing bridge (2) Width of existing bridge (3) Navigation clearance underneath existing Revised 03/95 Form DCM-MP-5 e. Will proposed culvert replac; ate existing culvert" __Yes No If yes, (3) Amount of material to be excavated in cubic yards 128 Cu. yds (1) Length of existing culvert.__._ d. If the placement of the bridge or culvert involves any (2) Width of existing culvei�:_—_ ^_ excavation, please complete the following: (3) Height of the top of the existing culvert above (1) Location of the spoil disposal area the MHW or NWLTemporary spoil area is existing road bed (4) Will all, or a part of, the existing culvert be removed? (Explain) _. (2) f. Length of proposed culvert__ g. Width of proposed culvert JUL 1 5 2004 h. Height of the top of the prc )c,sed ,A1xRt alove th (4) MHW or NWL — _ IVIOi@II@a.%-.#ItUU1111 (5) i. Will the proposed culvert affect existing water flow? Yes _ No If yes, explain (6) Does the disposal area include any area below j. Will the proposed culvert affect existing navigation the MHW orNWL? Yes X No potential? Yes __No If yes, give dimension if different from No. 2 If yes, explain _ _ _ above. e. Will the placement of the proposed bridge or culvert 3. EXCAVATION AND FILL !� result in any fill (other than excavated material described in Item d. above) to be placed below MHW orNWL?Yes X No a. Will the placement of the proposed bridge or culvert If yes, require any excavation below the M1 IW or NWI_? (1) Length of area to be filled _Yes X_ No (2) Width of area to be filled If yes, (3) Purpose of fill (1) Length of area to be excavated (2) Width of area to be ex :avated _ f. Will the placement of the proposed bridge or culvert (3) Depth of area to be ex: avated result in any fill (other than excavated material (4) Amount of material to bF -vem ated : n c nhic described in Item d. above) to be placed within: yards _ --_ _ Coastal Wetlands _ SAVs Other Wetlands If yes, No (1) Length of area to be filled (2) Width of area to be filled (3) Purpose of fill b. Will the placement of the proposed bridge or culvert require any excavation within: Coastal Wetlands _ SAV;; _ Other Wetlands If yes, NO (1) Length of area to be excavated (2) Width of area to be excavated (3) Amount of material to l;i� t;%cavated in c,-:bic yards c. Will the placement of the p:-ohosed briige or culvert require any highground excava`ion? X Yes No If yes, (1) Len;?th of area to be e:ccavatee' 27' Dimensions of spoil disposal area 20' x 20' Do you claim title to the disposal area? X Yes No If no, attach a letter granting permission from the owner. Will the disposal area be available for future maintenance? X Yes No Does the disposal area include any coastal wetlands (marsh), SAVs, or other wetlands? Yes X No If yes, give dimensions if different from (2) at.ove. 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 If yes, (1) Length of area to be filled (.2) Width of area to be filled (3) Pu:-pose of fill (2) Width of area to be exc�waed 32' Revised 03/95 Form DCM-MP-5 4. GENERAL a. Will the proposed project involv:; any mitigation" Yes X No If yes, explain in detail b. Will the proposed project regt.'re the relocation of any existing utility lines? Yes _.. X_ No If yes, explain in detail c. Will the proposed project rewire the construction of any temporary detour structu -es': Yes X No If yes, explain in detail d. Will the proposed project requir:; Einy work cliann.-Is? Yes X No If yes, complete Form DCM-MI' e. How will excavated or rill :nateria'. be kept on site and erosion controlled? Silt fcrtce f. What type of construction ecuipr ent will be toed (for example, dragline, backhoe or liydraulic dlred:ze)? Typical Bridge construction ecyi p rent g. Will wetlands be crossed in transportinc equipment to project site? Yes XNo If yes, explain steps that will bz- taken to lessen environmental impacts. h. Will the placement of the pr,)p- - .ed :)r:d=e or cu,\!er. require any shoreline stabi liz.itir n? _ _Yes X No If yes, explain in detail RivRay will be vla --ed behind existing bulkhead _ NCDOT-Craven 16 Applicant or Project Name Signature Date JUL 1 5 2004 Morehead City DCM Revised 03/95 VICINITY MAP SEE ATTACHED SIH[jET M o N `n co J co CL -� �9AT O ROODS E, DE Yt5[qA N0.E I� PIstErcuIT `7 lu—\ r� r GRAPHIC SCALES o PLANS ® o PROFILE (HORIZONTAL) o J PROFILE (VERTICAL) Of SLOPE STATE OF NORTH CAROLINA DIVISION OF HIGHWAYS LOCATION. -BRIDGE NO. 16 ON SR 1623 ----------------------------- ---- OVER LITTLE SWIFT CREEK TYPE OF WORK: CAMA - GENERAL'_ PERMIT --APPLICATION ------------------------------------- teu SNONRER eERY CUT Sr1. li• ISEE SOfO. N0. 946.Oil �._ �RP.•31 IA. II. 9.95 RJ'. •i BENI •1 CLASS ]I RIP' RAP N.0 363S5.1.1 1 5 AVEN 16 SWIOVEC TLEE LITE TOWNSHIP NUMBERS 1 AND S CRAVEN COUNTY LE: _ 2003 NOVEMBE 25 PREPARED BY: N.C.D.O.T. NEW BERN DISTRICT ENGINEER'S OFFICE 209 SOUTH GLENBURNIE ROAD -a NEW BERN, NC 28560 CLASS II RIP RAP r0 SHUTTER / SIA. 13.51.30 RP. •1 G ENO BENT •1 � FILL fA(C r TO( Of SLOPE L: 2e1•-6• -- so ��®r ♦: *� �- ANCHOR YIL DESIGN DATA ADT = ADT = DHV = % D = % T % V = MPH TTST % DUAL % PROJECT LENGTH PREPARED IN THE OFFICE OF HYDRAULICS ENGINEER DIVISION OF HIGHWAYS rPN sr.6mun srArmunoRs rs RIGHT OF WAY DATE: `"`"" rXQwT Aa�caoeR ROADWAY DESIGN LETTING DATE: mipirr A16fIGY &rrmrA DIVISION OF HIGHWAYS ATE OF NORTH CAROLINA ;r�rz uuxx acnua+ DEPARTMENT OF TRANSPORTA770N 'EDERAL HIGHWAY ADMINISTRATION U o �!:•�, �;-a�te CV � cvj SILT MSINm'A' LEGEND SHEET DIFFUSE FLOW THROUGH WETLANDS VEGETATED UPLANDS BEFORE ENTERING WETLANDS \\\ I TEMPORARY ROCK SILT CHECK w TYPE -A UPLANDS w I w Q a LL p SILT BASIN TYPE-B� a I LL o W u � Z o a W U I C] w I I 0 x DIFFUSE FLOW DETAIL NTS TEMPORARY ROCK SILT CHECK TYPE 'B' TEN". STONE DITCH CHECK L� RS EDGE OF PAVEMENT W STRUCTURAL STONE BACK SLOPE ISOMETRIC VIEW 1' YIN. INTISUL ONM CROSS SECTION VEE DITCH WA TRAPEZOIDAL DITCH ELEVATION VIEW SOIL EROSION CONTROL LEGEND, TYPICAL EACH SHEET SAT BASIN TYPE B In TEMPORARY ROCK SILT CHECK TYPE -A TEMPORARY ROCK SAT CHECK TYPE-8 ----�I-r TEMPORARY SILT FENCE IIII-} ORADE BREAK DIRECTION Of FLOW L J I I ------ WOODSLINE --- DIFFUSE FLOW Y/ -------- 404 WETLANDS FILL AREA 20' 3O n.Ei NmR --- NEUSE RIVER RIPARIAN BUFFER —------- 404 WETLANDS 1 -- COASTAL WEILANDS T* GL 10 GL 0 ---- GRASS LINED CHANNEL ---OPEN WATER IMPACTS a� SECTION S-S V'I, 7i /1 nD"aM/EK nI/clut rtai ; ,I I - SECTION A -A WLAIL TEMPORARY ROCK SILT CHECK TYPE -A PROPOSED SILT FEIICC WETLAND I VAR.O'-G' EDGE OF ExIST. ROAD EXISTING FILL UTILITIES LEGEND, TYPICAL EACH SHEET POWER POLE AG QT TELEPHONE PEDESTAL © CABLE TV PEDESTAL 0+ SEWER CLEAN OUT 0 WATER VALVE FIRE HYDRANT 0 WATER METER EIP0 EXISTING IRON PIPE + PROPERTY CORNER — IL— PROPERTY LINE GRASS -LINED CHANNEL TRAPEZOIDAL DITCH SECTION T D Z=D B E X-SECTION AREA (A) = BD tZD TOP WIDTH (T)= B 4 2DZ AREA TO BE 6 IINGA EU FILLED UNDISTURBED AREA DISTURBED in ,1 SILT FENCE DETAIL NTS PROPOSED SILT FENCE VAR.O'-G' I WETLAND 'EDGE OF EXIST.ROAD 8 Morehead City DCM m Z O G PROJ. RE 363 Q 5BRIDGE NO. 16 ON SR 1623 STATE OVER LITTLE SWIFT CREEK Lnl � T j\\ /,� A � T A\j T T� I FOR PERMITTING ONLY: ,...{ l°a�'i NOT FOR CONSTRUCTION ca WOPERMIT APPLICATION O II DARREN JAY AND CHARITY SUE CAYTOII 165 HIGH BRIDGE ROAD ERHUL,IIC 28527 DBA. I670, PG. 721 i WOODS PREFORMED SCOUR HOLE (SEE DETAIL) — SHOULDER BERM GUTTER FUNNEL DRAIN (SEE STO.NO. 846.011� (J STA.11+411�1 (SEE STD. NO. 820.01 & 820.04) CLASS II RIP RAP r TOE OF SLOPE , \ TO SHOULDER TO LAYTON -_ 10 SR ILI ---162--3 HIGH HIGH BRIDGE ------ ROROADAD------- -- _11+00 SR 12+00 - -� 1 00 = __=_____•- - - - - --STA.12+07.85-- --------- BEGIN APPROACH SLAB ---------------- - ---------- - 11 PT STA 4.36 =--� ----- @STA. II+49.349.36 TOE OF SLOPE STA.12418.70 W.P. ■i @ END BENT •1 FILL FACE CLASS II RIP RAP TO SHOULDER—� 404 AND COASTAL WETLAND IMPACTS 404 WETLANDS = ZERO IMPACTS COASTAL WETLANDS = ZERO IMPACTS WEYERHAEUSER COMPANY P.O. BOx 1391 NEW BERN,NC 28563 \ DBR.. 603, PG. 68 CL 41'-3' a. 132'-7'/8" 50' 118' } IBM STA.13+10. W.P. •3 BEi STA.12+59.95 W.P. •2 BENT •II f 7 SURVEY i & PGL TOTAL SHEETS CRAVEN COUNTY SCALE: 1'= 40' NOVEMBER 25, 2003 PREPARED BY: N.C.D.O.T. NEW BERN DISTRICT ENGINEER'S OFFICE 209 SOUTH GLENBURNIE ROAD NEW BERN, NC 28560 CLASS II RIP RAP - ` TO SHOULDER STA. 13+51.30 W.P.•4 @ END BENT 12 FILL FACE _ _r McRA, I:. WHITFORD P.O. BOx 55 ERIIUL. TIC 28527 DBK_ 653, PG. 159 -TOE OF SLOPE GUARDRAIL L= 287'-6" -- �� -- 1- - -- __- -•� \ a eatcr>E \ 13+ \ _ 14+pp 15+00 ------ --- - -�------------------------------- -TO �SR 1621_ � - \ --- ENO APPROACH SLAB --- eez-e GUARDRAIL ANCHOR GUARDRAIL UNIT, TYPE III ITYP.) L= 137'-6" BRIDGE \— — — — — — — — — — — — --- STA. 12+85.00 X__ \ x CLASS II RIP RAP TOE OF SLOPE 10' +\ TO SHOULDER c WOODS ENVIRONMENTALLY McRA'( K. AIID CHARLOTTE P. WHITFORD / SENSITIVE AREA \ �� WOODS \ ERNUL. ( S°, F 28527 653, DBY. 6�3PG, 159 GARLAND WIAII WHIIFOND,Jr. 170 HIGH BRIDGE ROAD \, ERNUL.HC 28527 OBF. 1216, PG. 927 \ t ii! i! Hr — ¶�1D31{�D05.0I.) � � raa;);o;l 3L 3.01 ✓Irel:T.Ip-o:l a.l y Rorlk s;.lI I 10 C ik.✓I��.SiIY( PROD. REFERENCE NO. I SHEET NO. I TOTAL SHEETS EL. 1000.30 STA. 9-50.00 1 980 10450 -1.00p�0.2U P,I11-00.00 EL:998.800 L=100' GRADE DATA II.00 o � 0 N 1lJ J o O PREPARED BY: N.C.D.O.T. 36355.1.1 1 5 1 5 209 SOUTH GLENBURNIE ROAD STATE PPOJECT 110. DESCRIPTION NEW BERN, NC 28560 CRRA EN 16� EMENi FOR PERMITTING ONLY: NOT FOR CONSTRUCTION HORIZONTAL CURVE DATA PI STA. 10.01.88 ,n, = 19.54'1B.5'ILT.1 DESCRIPTION OF EXISTING BRIDGE 3 SPANS - 1 O 30'-1; 1 0 40'-0'; 1 Iv 30'-Ol DOUBLE TIMBER FLOOR D = 6'40'48.0' WIIH 2'AWS ON STEEL I -BEAMS ON TIMBER CAPS AND TIMBER L = 297.98' PILES WITH 24'•3'CLEAR ROADWAY WIDTH SHALL BE REMOVED. 1 = 150.51, R = 85T.T2' PC STA. 8•51.38 P.7. 14.25.00 EL. 999.450 L = 100' f.RAE1F nATA SUPERELEVATION TRANSITION CR�LR, E1. 999170 E VAT( N YP.) ��` EXCAVATION II YP.1 STA. 12418.70 STA. 12.59.95 I STA.13.10.05 13.51.30 STAFWiP..L'4 W.P.-1 A END BENT •I W.P.-2 BENT 'I I � W.P.-3 BENT '2 0 END BENT '2 FILL FACE GRADE POINT EL. 999.037FIX EXP I FIX •0.200%. EXP I EXP FIXE FACE POINT EL. 999.303 STA. 12407.85 ----_ IJS STA. 13.62.15 BEGIN APPROACH SLAB _ " _-�� END APPROACH 2'-0'CLA{$$ II flIP RAP (SLOPE I /?:II(TYP,) HP12 x 53 HP 14 x I STEEL PISTEEL FILTER FABRIC (TYP.) PILES EST.TIPES7.L:55'! EL. 940.0 HP 12 x 53 STEEL PILES EST. L:55'! 11450 12400 12450 13.00 13.50 14.00 14450 PROFILE ALONG � SURVEY SCALE: 1": 20' o COMPLETE THIS SECTION t! Complete items 1, 2, and 3. Also complete A. Signature item-4 if Restricted Delivery is desired. ■ Print your name and address on the reverse X ��� so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. Received or on the front if space permits. D. Is d if Y 1. Article Addressed to: T-- rO n\) N -C - G 059 I J livery address below: JUL 1 5 Z004 ❑ Agent ❑ Addressee 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) 7002 0 510 0000 4119 7751 PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03-P-4081 UNITED STATES POSTAL SERVICE MPSO'k, Pit No. G-10 • Sender: Please print your name, address, and ZIP+# inpthis box N.C. Department of Transportation P.O. Box 1587 Greenville; NC 27835 ? iF?1?1�f421{?fi3i!#13?4?1FFF?iiFi?FF 13ii?I??141FFlFfF??lI?1?iS i� I� F `` 9 Ir a -I Postage $ � Certified Fee ostmark 1 ^ 1 17 Return Receipt Fee (Endorsement Required) `^ Here CD Restricted Delivery Fee (Endorsement Required) o a Total Postage & Fees Q} � $ s tO O El Street, Apt. No. or PO Box No. Q�---`5--------------- tti ---- ------- =O City, State, ZIP+4 _ Ceffified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A signature upon delivery ■ A record of delivery kept by the Postal Service for two years Important Reminders. ■ Certified Mail may ONLY be combined with First -Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece 'Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-02-M-0452 r ■ Complete items 1, 2, and 3. Also complete A. Signatur item 4 if Restricted Delivery is desired. fiwl ❑ Agent ■ Print your name and address on the reverse X!/l ❑Addressee_ Sso that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. Receive by (Printed N e) C. Date of Delivery or on the front if space permits. y 4 , - 1 _- D. Is dilf�io if Y ry address be o . S 1. Article Addressed to: JUL 1 5 2004 c > . c 55 _j 3. Se Certif©d Mail ❑ Express Mail registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes ` 2. Article Number 7002 0510 0000 4119 7843 (Transfer from service label) PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03-P-4081r UNITED STATES POSTAL SERVICE • Sender: Please print your name, address, a ss Mail c4 P ,i Fees Faid G-10 /" 1 �-� S � 17A nznr N. C. Dept. of Transportation P.O. Box 1587 Greenville, NC 27835-1587 Certified Mail Provides: i ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A signature upon delivery ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt serwce, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, January 2001 (Reverse) 102595-02-M-0452 '', M r--- a Postage $ d Cn a Certified Fee a O -•i�tostrrtyoy� O Return Receipt Fee �'fiei� .. f p (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Q O a Total Postage & Fees $ �. L O Sent Toru nn ------------5.� No. O �. Street, Apt. or PO Box N� ....... ---- -�^-- City Stat � i� e e "n� � .t '- '----'--'i------- �� } "S ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. _❑ Agent ■ Print your name and address on the reverse X' / G ❑ Addressee so that we can return the card to you. B. ec d by (Prince ame) C. Date of Delivery i i ■ Attach this card to the back of the mailpiece, or on the front if space permits. Az Oj> t. Article Addressed to: N 'C' �8 3. 2��L}1 5 2004 Dd ❑ Return Receipt for Merchandise Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number ? 0 0 2 0 510 0000 4119 ? 8 5 0 (Transfer from service label) ,z PS Form 3811, August 2001 Domestic Return Receipt 2ACPR1-03-P-4061 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 • N. C. Dept of Trai portion *A� P.O. Box 1587 Greenville, NC 27835-1587 4 S i i iF i i 5t f ( jj i j Certified Mail Provides: ■ to mailing receipt ■ A unique identifier for your mailpiece ■ A signature upon delivery ■ A record of delivery kept by the Postal Service for two years important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For j valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, January 2001 (Reve(se) 102595-02-M-0452 o w r- tr a Postage $ rl S Certified Fee i 17 t7 Return Receipt Fee (Endorsement Required) ' O Restricted Delivery Fee (Endorsement Required) O .-I Total Postage & Fees U-) ED I Sent 70 Street, """"` = •�.-.--•. CDApt. No.; or PO Box No. �-( � r. 45hy�tate, ZlP+4 C-) v /PostrQ4 HerW M r 01�1 ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. X ■ P-rint your name and address on the reverse so that we can return the card to you. B. Received ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: s 7:1 �ON ON DELIVERY —�`� ❑ Agent ❑ Addressee Name) C. Date of Delivery at r q em Yes �diir�s9 a o�V3 ❑ No JUL 1 5 2004 Certified aPi L1 ExNess MMI " - " ❑ eglstered ❑ Return Receipt for Merchandise ❑ Insured Mail Cl C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7002 0 510 0000 4119 7836 PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03-P-4081 UNITED STATES POSTAL SERVICE 111111 • Sender: Please print your name, address, ar N. \C. �cpt. o'Tr�ns'o P.O. Bo P rtal Greenville, 'I 1 S87 , NC 27835-1587 I lk,-, 1 ? 1!?di?!Al?II?EI--.A :A Mail Fees Paid 10 . G-10 _ _ Certified Mail Provides: ■ A�mailing receipt ■ A unique identifier for your mailpiece ■ A signature upon delivery ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of , delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, January 2001 (Reverse) 102595-02-M-0452 _o im ++ Er r1 Postage $66 -1' Certified Fee Post O ' Return Receipt Fee 1 �..+ Her O (Endorsement Required) ILLrIrr-rr O O Restricted Delivery Fee Ili�t-F^d (Endorsement Required) O Imo) ,4. yj r-i Total Postage &FeesLn O S o - - ---- v �� Street, Apt. N O or PC Box No. O------------- --- 65--- r— City, State, ZIP+4