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Home My WebLink About75310_NCWRC Conby Creek BAA_20191202 XCAMA / DREDGE & FILL —'j qt ' 1Q t9 t5?' No. 75310 A B C D � GENERAL PERMIT Previous permit # /q - ['slew _Modification Complete Reissue -Partial Reissue Date previous permit issued nJ/A , As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 071), I ZOO •El Rules attached. 1 Applicant Name MG tJ IZC. CO,JA*N'/ C RE[IV 13A/A Project Location: County W ASJ- f467-0/" Address 1 -1'01 MAIL S CIZVI CJ< C r q p Street Address/State Road/Lot#(s) F C oNA r3 y City `AL I5I4 state/JC. zip�7/ I f L A^" Phone# (_ _)_ E-Mail Subdivision C 0,0A 6 y � Authorized Agent M I C.HA L L C6C t r ' City j L `/M 0 U 11-1 ZIP 7 76 �Z ❑CW ❑EW JA LIES '❑PTS Phone# ( ) River Basin g()A/v 0 k T Affected AEC(s): ❑oEA ❑HHF ❑IH ❑UBA El N/A Adj.Wtr. Body C O NA6'/ C -� IC Oman /unkn) ❑ PWS: O,Q/i1oK�► Illy 12 Closest Maj.Wtr. Body Z ORW: yes //no7 PNA yes / n Type of Project/Activity .'l(A j 4O R (z t 2 (9 X Z i ' ICI iAING i/A17 0 e AA (Scale: ) Pier(dock)length - I Fixed Platform(s) ! ']/ / . . ■ ■. ' Plllli _ MallI II-_ Illnumber -- !Bulkhprapength •■■•■ av distance offshore ,.- iiijIIiI1L1!IiIIIii1iUIIIiiiii �■■■■■stanc offshore ' �,�,,, Basin,channel �■■■� ■■ ■�■�■• ••,PJL■III■MI •■■■■ • '1'!91i1! MIN �� ::: EEIftT ,,_, 1 Beach Bulldozing ' i Hi Other i, 1BEM ��111.11®r_. _.T... soir. .. 411111 ��M�� 111111111MMINIMMI i , 1_ .11.E u ...aRa.� ■ I'i- _ ;3r1 11MM / i i Shoreline Length -1-/O� Ai cSAV: not sur yes ;;.JIi — C I ti ■t- r . Moratorium: n/a yes IUii!i!i!IIi!hI4II1i 7 Photos: yes I� M 4_.4MI _ EIN• . •II.�I lI l Y Y A R O .. �� Waiver Attached: yes no j 1 ' A building permit may be required by: 14 AS H'(G I 64 CO Otill • I I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions flit C1/1‘el Le -f+ ` /)cVJIZL. iCrVIJ I'(AiZ/ Agent or Applicant PeddName Permit Officer's Printed N e // / Pri � -' Signature Please read compliance statement on back of permit** Signature #ZOD.OD C - k/Aij—N i <- l)i_ ( -Il 1 AI'1Zat 2Qd0 Application Fee(s) Check# Issuing Date Expiration Date ►(; J r c - C on)Ac/ 3 A/A Applicant:Date: {) L Z ei ej General Permit#: 7 ti 3/ b i3 Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement found in your Habitat code sheet TOTAL Sq. Ft. 1 FINAL Sq.Ft. I TOTAL Feet I FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. ;a;-;.= includes any Excludes any total includes Excludes any Choose One anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) oaoo ,,/vim Dredge❑ Fill 0 Both ❑ Other Dredge❑ Fill❑ Both ❑ Other 0 Dredge 0 Fill❑ Both ❑ Other ❑ Dredge❑ Fill 0 Both ❑ Other ❑ Dredge 0 Fill❑ Both ❑ Other 0 Dredge❑ Fill 0 Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both El Other 0 Dredge❑ Fill❑ Both ❑ Other 0 Dredge 0 Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ • Dredge❑ Fill❑ Both ❑ Other ❑ 0 North Carolina Wildlife Resources Commission % Gordon Myers, Executive Director October 25,2019 Mr. Kevin Hart—Compliance and Enforcement NCDEQ-CAMA 943 Washington Square Mall Washington,NC 27889 RE: Conaby Creek BAA Dock Replacement—General CAMA Permit Application Mr. Hart: The North Carolina Wildlife Resources Commission (NCWRC) is submitting a General CAMA application package for replacement of the existing dock at the Conaby Creek Boat Access Area (BAA) located in Washington County. The existing fixed docks onsite are in a deteriorated state due to age. NCWRC is seeking approval to remove the existing docks and install a 6' wide floating dock and concrete abutment to serve the existing ramp. Proposed work will involve removal of the existing docks,replacing the existing fixed dock with a 6' wide floating dock, construction of a 6' x 8' concrete abutment,minor grading work,and installation of riprap armor around the abutment and seeding and mulching to disturbed area. Note that this project is located in the existing floodplain. Please find 2 attached copies of the project plans, property owner notifications, and information related to the CAMA application fee. Please let me know if you have any questions related to this project. I can be reached at(919)707-0083 or via email at michael.leezett.ci ncwildlife.ore. Sincerely, lit Michael Leggett, PE RECEIVED Engineer enclosures NOV 0 7 2 '`' Mailing Address: N.C. Wildlife Resources Commission • 1701 Mail Service Center • Raleigh NC 27699-1701 Telephone: (919)707-0010 4 act a ' di ,,(At j <<��'��' 0 North Carolina Wildlife Resources Commission 0 Gordon S. Myers, Executive Director OCTOBER 23, 2019 MEMORANDUM TO: Finance FROM: Caleb Withers Division of Engineering & Land and Water Access DATE: October 23, 2019 SUBJECT: General CAMA Permit for Conaby Creek BAA in Washington Co. Please issue a process a transfer in the amount of$200.00 to NCDEQ for general CAMA permit for Conaby Creek BAA dock replacement in Washington Co. NC. Funding: s FCEIVED Vendor No. 56-6000372 40 NOV 0 7 2019 Cost center: 1161 8302 2000 Account Code: 535120 Please forward copy of electronic transfer information to Michael Leggett and Caleb Withers in DELM. DIVISION OF ENGINEERING SERVICES Mailing Address: 1720 Mail Service Center• Raleigh,NC 27699-1720 Office Location: 1751 Varsity Drive• Raleigh, NC-Telephone: (919)707-0150 • Fax: (919)707-0162 r"' AP DOCUMENT PAYMENT GENERAL INFORMA FUNCTION - ACTION : HISTORY : ET I T : VEi, D.F,EMP HD: ENO/ FMP SHORT NA " E : DOCUMENT NBR : DOCUMENT DATE PAYMENT i JDR : I N D AMOUNT SALES TAX/ VAT : VAT I NCLUS SALES TAX 2 : E .PENSE I N' SALES TAX 3 GL EFFECTI FREIGHT EXTRACT DO ADDITIONAL COST : ACCRUAL CA GROSS INVOICE 2O0 . 00 CURRENCY CI PAYMENT AMOUNT : 200 . 00 DISCOUNT T AMOUNT PAID 200 . 00 DISCOUNT T PAYMENT ST ' PAYMENT TERMS : NET PAY IMMEDIATELY PAYMENT RE ' PAYMENT DATE 10/30/2019 PAYMENT TY ' PAYMENT ROUTE CD : HANDLING C FACTOR NUMBER ONE INVC P REASON CODE/DESC : BANK ROOT ' Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties. NO C 'a � 2 Adjacent Owner # 1 Jerry Suttles Mailing Address: 3260 G.W. Abee Street Connelly Springs, NC 28612 Submitted Notification: 05/20/19 Received: 05/28/19 RECEIVED Nov 9 291y D -WA O SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3. A. S't ature , �r yJ"`� ❑Addressee Agent • Print your name and address on the reverse �� So that we can return the card to you. B. -ceived• Print Nam C. Date of Delivery • Attach this card to the back of the mailpiece, -� or on the front if space permits. - 0 Yes 1. Article Addressed to: D. • If YES,enter delivery1?ifferen item address below: ❑No le-flitA t./4‘‘''‘'\is bC .\ - ' Curviv th-i'5f fia 3. Service Type 0 Priority Mail Express® ❑Adult Signature 1 (fjegi�tarp�Mail 1111111 'I EMI II I'I I II I II III I ill I III 0 Certifi Signaturei Restricted Del'ly�l (❑RORe�1�6211 eturn R tDe�M�pt foestricteo ty ❑Certified Mail Restricted Delivery Merchandise 9590 9402 1881 6104 3271 99 r C]CollectonDelivery Merchandise 0 Collect on Delivery Restricted Dery ation 2. Article Number(Transfer from service label) 0 ,red Mail tdcted Delivery red Mail Restricted De 7017 2620 0�0_0 7627 6928 $500) _; PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt North Carolina Wildlife Resources Commission Gordon Myers, Executive Director May 20, 2019 CERTIFIED RETURN �`' „ 1 p ' RECEIPT REQUESTED ., Jerry Suttles �"' 6 , 32 0 G.W.Abee Street " ` � v, ` '' Connelly Springs, NC 28612 pcos ,� ii .- s" vir w. • ® . p.v,--v �+R Dear Mr. Suttles, 4k �_`" ` This letter is to inform yor T c, to file for a General CAMA Permit at CL ,0\&\ � Vashington County. This project is forth N 'icate that you are an adjacent riparian f,r `, v you of the development in order to giv 0 k tached project drawings. 0O� tito �LL, Q / `6. 4 �; '' No action is required from you or y�N y° `h y ,\�, lf'�`� :, =ii. I you have any c ' questions or comments about the pi N ., � , -0083 or at the address listed below. If you wish to file write r � �� t, '' '�``ocal government CAMA permit program,you may submit them utilizing lir,,,W'' ,,,, ' a Sincerely, ' ._ RECEIVED itimilif NOV 072019 Michael Leggett, PE C _WAR Facility Construction Engineer Mailing Address: 1720 Mail Service Center/Raleigh, NC 27699 Office Phone: (919)707-0083 Email: Michael.leggettRncwildlife.orq enclosures Mailing Address: N.C. Wildlife Resources Commission • 1701 Mail Service Center •Raleigh NC 27699-1701 Telephone: (919)707-0010 • • a I i HIS SECTION COMPLETE THIS SECTION ON DELIVERY Ind 3. A. Signature 0 Agent ddress on the reverse X ❑Addressee the card to you. B. Received by(Printed Name) C. Date of Delivery back of the mailpiece, a permits. D. Is delivery address different from item 1? 0 Yes If YES,enter delivery address below: ®No J. . f <7.,.Mt4c 3. Service Type ❑Priority Mail Express® , ❑Adult Signature 0 Registered MailTM I Hill III 111!!!!!!III l�� 0 Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mailer Delivery 0 Certified Mail Restricted Delivery 0 Return Receipt for .1 61 04 3271 99on Merchandise ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation*" r from service label) —- ad Mail 0 Signature Confirmation ad Mail Restricted Delivery Restricted Delivery pppp 7627 6928 $500) )15 PSN 7530-02-000-9053 Domestic Return Receipt , fu; e .SOmm S „eg• CR% R iONSION"iiialausga_ D Q ' -_ D `D — J1 1 N t'' i O � �' on 1 C7 1 p tO rtl r1J h ''''"""1".....--1---.1.1.2 '3A-'11-1'e- ' . A 4 ,,r oo r - r Z.. NOV 07 201y r .AR Adjacent Owner # 2 Robin & Kathy Rea Mailing Address: 61 Conaby Lane Plymouth, NC 27962 Submitted Notification: 05/20/19 Received: 05/29/19 RECEIVFD .off;\! 701ci C SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY A. Signature ❑Agent a Complete items 1,2,and 3. X 0 Addressee B. ■ Print your name and address on the reverse so that we can return the card to you. C. Date of Delivery r eceived : (Prjnte�Name} • Attach this card to the back of the mailpiece, iV.. S or on the front if space permits. ❑Yes 1. Article Addressed to: D. Is deliv= address different from item 1? /I If YES,enter• ' ery address below: 0 No q13104)n i, VaLrhAl v)ea- ffA (:) ‘irl -c.vto,- Ltaiii-e- c V 0/ p 7.1 3. Service • • CI Priority Mail Express® ❑Adult Signatu=• ❑ MaitTM I I'll�I I'll IIIIIII it Il I I II I I I III I II In II I III •Adult Signature estricted pe�ytiel�f L. eli Registereded Mail Restricted V v slivery Certified Mail® ❑Return Receipt for ❑Certified Mail Restrict slivery Merchandise 9590 9402 1881 6104 3272 05 ❑Collect on Delivery • • re ConfirmationT"' ❑Collect on Delivery Restricted �'. re Confirmation 2. Article Number(Transfer from service label) d Mail '• acted Delivery - d Mail Resi 7017 2620 0000 7627 6935 -;500) - - _"— Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 .. .� � . North Carolina Wildlife Resources Commission 0 Gordon Myers, Executive Director May 20, 2019 CERTIFIED RETURN RECEIPT REQUESTED Robin & Kathy Rea 61 Conaby Lane Plymouth, NC 27962 Dear Mr. & Mrs. Rea, This letter is to inform you that the North Carolina Wildlife Resources Commission is preparing to file for a General CAMA Permit at Conaby Creek Boating Access Area(85 Conaby Lane, Plymouth,NC)in Washington County. This project is for the demolition and replacement of the existing docks onsite. Records indicate that you are an adjacent riparian propert owner to the aforementioned project and I am required to notify you of .,_rt, '�a_ W W ent on the project. Please review the attached 0 ;- enclosed no objection form. If you have any ru intact me at (919) 707-0083 or at the address s' 3'm "" ons with the local government CAMA permit ru LLUdl, D D D RECEIVE' ru NO • 2F I Ifs w ' A %ikee( L ffi h Mat small. ichael:leggett@hcwildlife.org enclosures Mailing Address: N.C. Wildlife Resources Commission • 1701 Mail Service Center • Raleigh NC 27699-1701 Telephone: (919)707-0010 ,, s.s' : 5'.1 Lri ® ftl — g e. as- ` 4 ,ii.+ 4,4V' F 4. 4Y1 -' ate ; j'iy; Er E Er ,,.ha. iV,Ef a f t ,Y.t r17f fi at t o .,a•. ,,. morimiir flJ fU :`' 0 0 0 0 0 �� d O 4 iiimumme i rl r , p e PLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY A. Signature :MS 1,2,and 3. 0 Agent ime and address on the reverse X 0 Addressee an return the card to you. B. Received by(Printed Name) C. Date of Delivery :ard to the back of the mailpiece, int if space permits. ised to: D. Is delivery address different from item 1? 0 Yes If YES,enter delivery address below: 0 No �` r �uL f 0 PriorityMail Express® 3. Service Type ❑Registred MailTM ❑Adult Signature I 111111 lI 11I II I ,l11l l l ❑ Signature Restricted Delivery ❑ Restricted ❑Adult Certified Mail® DeRegisteredlivery ❑ Restricted Delivery ❑Return ReceiptMail for )402 1681 6104 32%e_ 0Certified Collect onMail Delivery Merchandise 0 Collect Delivery SiaitionhM er(Transfer from service label) d Mail ❑Signature Confirmation don Mail Restricted DeliveryRestrictedDelivery ❑RestrictedgntureConf Delivery rma 2620 0000 7627 6935 500 1,July 2015 PSN 7530-02-000-9053 Domestic Return Receipti -- Ii II RECEIVED NOV 07 ?pig DCM-WARD Adjacent Owner # 3 Charles T. Sawyers Jr. Mailing Address: 2361 NC Hwy 32S Plymouth, NC 27962 Submitted Notification: 05/20/19 Returned: 06/24/19 (Never Picked up or Signed for) RESBUMITTED AT REQUEST OF CAMA Charles T. Sawyers Jr. Mailing Address: 133 Conaby Lane Plymouth, NC 27962 Submitted Notification: 10/14/19 Returned: 10/17/19 (Never Picked up or Signed for) VuV �► 72O1J )CM WARO SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature �' i w n C ''i I. mm6 ■ Print your name and address on the reverse X /8 , / l CJ T z s z ,� ?i 4' * -33 I so that we can return the card to you. �" ,:�;, ,,� I r �' ' y 0 ■ Attach this card to the back of the mailpiece, Bn Re iysr#by(P d Na e) �, �' I a a-`,.! i a or on the front if space permits. l__- t 1. Article Addressed to: � ' ; tr� � � D. Is delivery address different from item 1? i' C�� If YES,enter delivery address below: S - � � f m nn r�3 �Uq ..5 r- l t , 6 �Yl �_ _ m �, E �!' a33 �\j'on t / N�, 219(e2 R "7 i 0 'I I I I I I I' I I 3. Service ® i ?1c1J ❑Prio E l V LIn II I I I ❑Adult Signat ❑Regi; �� A' `7 0 Adult Signature Restricted Delivery 0 Reg,. _Z..,3\i C ❑Certified Mail® Deli7 O �'� y 9590 9402 3864 8060 6405 62 0 Certifi eilp. V�iikft OD Re 2. Article Number(Transfer from service label) 0 Collec . a- very Restricted Delivery 0 Si.: 3 El 7017 1070 0000 3610 0373 Insured Mail ❑Si i Mail Restricted Delivery Resmi— DC M- A 500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt r North Carolina Wildlife Resources Commission Gordon Myers, Executive Director October 14, 2019 CERTIFIED RETURN RECEIPT REQUESTED Charles T. Sawyers,Jr. 133 Conaby Lane Plymouth, NC 27962 Dear Mr. Sawyers, This letter is to inform you that the North Carolina Wildlife Resources Commission is preparing to file for a General CAMA Permit at Conaby Creek Boating Access Area(85 Conaby Lane, Plymouth, NC)in Washington County. This project is for the demolition and replacement of the existing docks onsite. Records indicate that you are an adjacent riparian property owner to the aforementioned project and I am required to notify you of the development in order to give you the opportunity to comment on the project. Please review the attached project drawings. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about the proposed project, please contact me at(919) 707-0083 or at the address listed below. If you wish to file written comments or objections with the local government CAMA permit program, you may submit them utilizing the attached form. /VET ... Sincerely, biOV �J72u;_. 11.016,4 M-WAR( Michael Leggett, PE Facility Construction Engineer Mailing Address: 1720 Mail Service Center/Raleigh, NC 27699 Office Phone: (919) 707-0083 Email: Michael.leggettncwildlife.org enclosures Mailing Address: N.C. Wildlife Resources Commission • 1701 Mail Service Center •Raleigh NC 27699-1701 Telephone: (919)707-0010 s P MPLE,TE THIS SECTION COMPLETE THIS SECTION ON DELIVERY :ems 1,2,and 3. A. Signature lame and address on the reverse x 0 Agent ::an return the card to you. ID Addressee card )nt to space the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery if permits. used to: D. Is delivery address different from item 1? 0 Yes If YES,enter delivery address below: 0 No °-t._:'�'1 cam,-� �E I� 11111 l III I I I I� 3. Service Type ❑Priority reldiMar'ssO I I! if! ❑Adult Signature ❑Registered MailT� ❑ S Delivery ❑Registered Mail Restricted ❑CertiAdultfied Mail® Delivery 02 3864 8060 6405 62 0010 Certifiedignature Mail RestrictedRestricted Delivery a Return Receipt for ❑Collect on Delivery Merchandise r(Transfer from service label) ❑Col Delivery O Signature Confirmation r^ 6 no Insurelectd on MailDelivery Restricted ❑ Confirmation 07 3 10373 5M it Restricted Delivery RSignatureestricted Delivery July 2015 PSN 7530-02-000-9053 Domestic Return Receipt r ( IOlELF m M1 ... i : " ® �► , l 7 2015 11 o } y c� '0 �'u rzia o o f _3 ; � L� r _ (_Lk__ 14 10/24/2019 USPS.com®-USPS Tracking®Results USPS Tracking® FAQs > Track Another Package ÷ Tracking Number: 70171070000036100373 Remove X Your item was delivered at 3:45 pm on October 17, 2019 in PLYMOUTH, NC 27962. RECEIVED G Delivered Aft)v 0 7 2019 October 17, 2019 at 3:45 pm -'o Delivered Oro,M WARO PLYMOUTH, NC 27962 0 Text & Email Updates Tracking History n October 17, 2019, 3:45 pm Delivered PLYMOUTH, NC 27962 Your item was delivered at 3:45 pm on October 17, 2019 in PLYMOUTH, NC 27962. October 17, 2019, 1:48 pm Notice Left (No Authorized Recipient Available) PLYMOUTH, NC 27962 October 17, 2019, 8:14 am Out for Delivery PLYMOUTH, NC 27962 https://tools.uses.com/go/TrackConf rmAction?tRef=fullpage&tLc=3&text28777=&tLabels=70171070000036100373%2C%2C 1/3 ur `� , JAI in i -16 . ,.. -,--,€,---;m., t. ,,T, I- — .,,-, ,,,,.....teAr.i, II,----L,if,\ I , I 1 J i `T Y d ' s ✓� 1 ? k� �'- _ J • j iark North Carolina Wildlife Resources Commission -4 Gordon Myers,Executive Director May 20, 2019 CERTIFIED RETURN RECEIPT REQUESTED Charles T. Sawyers, Jr. 2361 NC Hwy 32 S. Plymouth, NC 27962 Dear Mr. Sawyers, This letter is to inform you that the North Carolina Wildlife Resources Commission is preparing to file for a General CAMA Permit at Conaby Creek Boating Access Area(85 Conaby Lane, Plymouth, NC)in Washington County. This project is for the demolition and replacement of the existing docks onsite. Records indicate that you are an adjacent riparian property owner to the aforementioned project and I am required to notify you of the development in order to give you the opportunity to comment on the project. Please review the attached project drawings. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about the proposed project, please contact me at(919) 707-0083 or at the address listed below. If you wish to file written comments or objections with the local government CAMA permit program, you may submit them utilizing the attached form. Sincerely, RECEIVr:r Michael Leggett, PE Facility Construction Engineer #CM-VVAHa Mailing Address: 1720 Mail Service Center/Raleigh, NC 27699 Office Phone: (919) 707-0083 Email: Michael.leggett@ncwildlife.org enclosures Mailing Address: N.C. Wildlife Resources Commission • 1701 Mail Service Center • Raleigh NC 27699-1701 Telephone: (919)707-0010 • : 7 6 e dal f +F,. { � x ,?ss e w ra r NJ " \ , 1 : `1 o E3 t ry N 't'11:1111141‘ ................"'" "... jur";:-.1 r-1 'i„,...,' vi tli-1,--,.. ...,-,--,,e‘i--,.I ' ,,,,_‘l' (7e:-.5 ---.): r----- - /1 t . , SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY A. Signature ■ Complete items 1,2,and 3. 0 Agent • Print your name and address on the reverse X 0 Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery M Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes y { --1,,, If YES,enter delivery address below: El No 3 I Imo. ei,,i,„,,,,,„,0„, 3. Service Type 0 Priority Mail Express® 11111 `I 111111 ■ ll I 11 sill 0 Adult Signature 0 Registed MailTM R tl `f I 1( ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery 590 9402 1211 04 3272 I 1 2 ❑Certified Mail Restricted Delivery ❑El Callctors D=fiver}, Merchandise t Return Receipt for j r ,-,_-•, a0- — n r^11^-=^n Delivery Restricted Delivery U Signature Coniirrnatioo"' .__ all ❑Signature Confirmation 701,7 2620 0000 7627 6942 Aaij Restricted Delivery Restricted Delivery _ __—._ — z ,._ .I (overa5f10) i PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt l l RECEIVED I NOV 072019 j C -WAR® 1 d 1 l 1 • FAQs > (https://www.usps.com/fags/uspstracking-fags.htm) USPS Tracking® Track Another Package + Tracking Number: 70172620000076276942 Remove X Your item has been delivered to the original sender at 3:11 pm on June 24, 2019 in RALEIGH, NC 27699. C✓ Delivered June 24, 2019 at 3:11 pm Delivered, To Original Sender m RALEIGH, NC 27699 CD cD a 0- a) c) Tracking History June 24,2019, 3:11 pm Delivered, To Original Sender RALEIGH, NC 27699 Your item has been delivered to the original sender at 3:11 pm on June 24, 2019 in RALEIGH, NC 27699. June 24,2019, 11:13 am Arrived at Unit RALEIGH, NC 27611 RECEIVED June 23,2019 In Transit to Next Facility NOV 0 7 2Q19 CM-lltlARO June 22,2019, 12:08 am Departed USPS Regional Facility RALEIGH NC DISTRIBUTION CENTER May 25,2019, 10:45 pm Arrived at USPS Regional Facility RALEIGH NC DISTRIBUTION CENTER May 25,2019, 12:08 am Departed USPS Regional Facility ROCKY MOUNT NC DISTRIBUTION CENTER May 24,2019, 3:50 pm Arrived at USPS Regional Facility ROCKY MOUNT NC DISTRIBUTION CENTER May 24,2019, 11:59 am Departed USPS Regional Facility RALEIGH NC DISTRIBUTION CENTER May 22,2019, 8:23 pm Arrived at USPS Regional Facility cp - m RALEIGH NC DISTRIBUTION CENTER a 0- n Product Information u RECEIVED See Less " NOV 072019 DCM-WARO Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. FAQs (https://www.usps.com/fags/uspstracking-fags.htm)