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HomeMy WebLinkAbout61543D - Piedmont---'CAMA / L---'N` 61 DREDGE &FILL • GENERAL PERMIT ,`1i� �, Previous permit# AeW ❑Modification ❑Complete Reissue LPartial Reissue Date previous permit issued )rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �610f% ules atta ed. nt Name j Jj �j ,l�I i' �'j Project Location: County N 4w / / Street Address/ State Road/ Lot #(s) �h State ZIP � Z/�' 1/2 .2 3 # ( Fax # ( Subdivision !zed Agent S ey City 41ZI ZIP WA ❑ CW Q'EV1✓ L-OiA "ES Ts Phone # ( ) River Basin 64 ❑ OEA ❑ HHF ❑ IH UBA ❑ N/A Adj. Wtr. Body I-Reew Arpvls c e� ❑ PWS: � FC: CG�< �« yes /6- PNA �es, % no Crit.Hab. yes / no Closest Maj. Wtr. Body if Project/ Activity 7i//!�' f i f „r �� J j� 'f ock)length m(s) pier(s) ength umber ad/ Riprap length ✓g distance offshore iax distance offshore :hannel ibic yards mp use/ Boatlift Bulldozing � �� I 07M ne Length in w Fill not sure yes 0 11A gs: not sure yes MEN E ==lWFVAN yes CO) ■�. FAttached: yes A ling permit may be required by:-��l1�i �'� , !r a eeA1;, ., s El See note on back regarding River Basin March 7, 2013 North Carolina Department of Environment and Natural Resources Division of Coastal Management 127 Cardinal Drive Extension Wilmington, North Carolina 28405-3845 Attention: Mr. Robb Mairs Reference: Coastal Area Management Act General Permit for Subaqueous Utility Line Crossing PNG Line 150 Barnards Creek Wilmington, North Carolina S&ME Project No. 1357-12-001 Dear Mr. Mairs: S&ME, Inc. is submitting this application for a Coastal Area Management Act (CAMA) General Permits for Subaqueous Utility Line Crossing of Barnards Creek nears its intersection with River Road south of downtown Wilmington. The following documents have been attached for your review: • Project narrative • Agent Authorization form • Easement approval from the NC State Property Office • Easement approval from the City of Wilmington • Plan and profile view drawings of the crossings • Certified mail receipts • Check for $400.00 made to NCDENR Please contact us if you have any questions regarding the information package. Sincerely, S&ME, Inc. Paul Masten_ T._S_S_ Tulae Rennett HncIel If r PROJECT NARRATIVE PNG Line 150 Extension Project Piedmont Natural Gas (PNG) proposes to install a new ten -inch diameter natural gas pipeline to be located in Brunswick and New Hanover Counties, North Carolina. The new pipeline will originate approximately 1.4 miles southwest of Clarendon Road and approximately 0.5 mile north of Town Creek (34.1586°N, 78.0356°W) adjacent to the west of the U.S. Army railroad easement and south of the Brunswick Forest development in Brunswick County, North Carolina. The pipeline continues generally east before crossing the Cape Fear River, then turning north, generally paralleling River Road to its terminus on the north side of Sunnyvale Road in Wilmington, North Carolina (34.1721°N, 77.9411°W). The majority of the line was permitted in 2012, which included the portion from the west terminus adjacent to the U.S. Army railroad easement to the east side of River Road. Subaqueous crossings of Little Mallory Creek and the Cape Fear River received CAMA General Permits as part of that permitting process. The purpose of the entire project is to provide natural gas transmission to southern New Hanover County. This area is currently served by an existing eight -inch transmission line that is leased from Exxon with the lease set to expire in June 2013. The extension line project will cross one Coastal Area Management Act (CAMA) —jurisdictional water, Barnards Creek. Most of the extension line project contains forested area including jurisdictional wetlands and waters of the US. Coastal wetlands are present within the floodplain of Barnards Creek only. The extension line project will not result in a loss of Waters of the US, but will affect approximately 1.51 acres of wetlands and 122 linear feet of tributary. Of those impacts, 0.65 acres will involve conversion of forested wetlands to herbaceous wetlands, while the remainder will consist only of temporary disturbance. There will be no impacts to Barnards Creek or associated coastal wetlands, as the pipeline will be installed beneath the waterway via horizontal directional drill (HDD). The project as proposed requires authorization from the US Army Corps of Engineers (USACE) under Nationwide 12 (utility line activities), written concurrence from the North Carolina Division of Water Quality (NCDWQ) under Water Quality Certification (WQC) No. 3819, as well as a General Permit from the North Carolina Division of Coastal Management (NCDCM) for Subaqueous Utility Crossings. To minimize impacts and disturbance to jurisdictional Waters of the US, PNG plans to limit the width of the proposed ROW. The work will be conducted within a 40-foot ROW, 10 feet of which will consist of temporary work space (TWS), with the remaining 30 feet consisting of a permanently -maintained easement. This is the minimum width required to support: 1) leakage surveys from ground mobile units or aerial technology; 2) aerial patrolling for possible encroachment activity near the pipeline; 3) accurate AGENT AUTHORIZATION FORM Date: 6/02/09 Project Information S&ME Project Name: PNG Line 150 Pipeline Type of Project: Jurisdictional Delineation, Nationwide Permitting Location: Brunswick and New Hanover Counties, North Carolina Property Owner/Representative Information Business Name: Mailing Address: City, State, Zip Code: Telephone No. Contact: Agent Information Business Name: Street Address: City, State, Zip Code: Telephone No. Contact: Piedmont Natural Gas 4720 Piedmont Row Drive Charlotte, NC 28210 (704) 7314375 Ms. Mara Sikora, P.E. S&ME, Inc. 3006 Hall Waters Dr., Ste. 100 Wilmington, N.C. 28405 910.799.9945 Paul Masten Authorization: I �(( Ccc`` on behalf of (Contact Signature) 1>,c Lr m,rA No� -Sm hereby authorize (Name of Landowner Project Sponsor) S&ME, Inc. to act as agent for the above -mentioned project. rtFC;EIVE North Carolina Department of Administration Pat McCrory, Governor Bill Daughtridge, Jr., Secretary March 5, 2013 Paul Masten S&ME 6409 Amsterdam Way, Building B3 Wilmington, NC 28405 Re: Council of State Approval File No. 65-BM Dear Mr. Masten: State Property Office This is to advise you that the Council of State, at its meeting held on the above date approved the attached item. This matter will be referred to the Attorney General's Office at the appropriate time foi preparation of documents. In the meantime, if you have any questions regarding thi: transaction, please contact Kelly Promer of this office. Sincerely, Speros J. Fleggas Deputy Secretary RECEIVED DCM WILMINGTON, NC KP:tm MAR 0 7 2013 DISPOSITION BY EASEMENT ITEM 1 GRANTOR: State of NC, Department of Administration GRANTEE: Piedmont Natural Gas Company, Inc. LOCATION: Barnards Creek near River Road, Wilmington, New Hanover County EASEMENT AREA: ±20' x ±656' or f 13,120 sq. ft. or (f0.30 acre) CONSIDERATION: $250 COMMENTS: Utility Easement. Proposed easement is needed for subaqueous installation of a 10" natural gas pipeline to provide utility service. Z�OF i IYI91M�l��GVNIIVI DEED OF EASEMENT TRANSMISSION -C.4X O3�1_ - oO STATE OF NORTH CAROLINA COUNTY OF NEW HANOVER NHC COUNTY TAX ID # R07000-001-011-000 Prepared By & Return To: SFOR REGrSTRRTION REGISTER OF DEED! TRMMY THEUSCH BEpSLEY 10f 3HFEBV06 02UO3: iOc 1 8K:5709 PG:2587-2590 HEM 00 1NSIVEW 1201300*0 *1:liedmont Natural Gas Company, Inc. C/o Sandy Ogint Administrator Property Records 4720 Piedmont Row Dr. Charlotte, NC 28210 LINE NUMBER 150-NH PARCEL NUMBER 10 L THIS DEED OF EASEMENT made this '�� day of iCI-i-i u�_a, -Ly 2013, from the CITY OF WILMINGTON, a North Carolina Municipal Corporation (hereinafter designate as GRANTOR), to PIEDMONT NATURAL GAS COMPANY, INC., (hereinafter designated as GRANTEE). WITNESSETH Subject to the conditions, restrictions, and exceptions contained herein. GRANTOR, for and in consideration of the sum of $ 17,394.00, and other valuable considerations, the receipt of which is hereby acknowledged, hereby bargains, sells, and conveys unto GRANTEE, its successors and assigns, a non-exclusive easement right for the purpose of laying, constructing, maintaining, operating, repairing, altering, replacing, removing, and protecting one or more pipelines for the transportation of natural gas under, upon, over, through, and across a portion of the southeast corner of GRANTOR'S land which Is situated in the Masonboro Township, New Hanover County, North Carolina, as legally described in those deeds recorded in Book 2602, page 974 and Book 2602, Page 977, New Hanover County Registry. The easement herein conveyed is more particularly described as: BEING all that 43,570 square feet area (1.00 acre) indicated as "Proposed Easement" as shown on that survey dated 09/06/2012 by James L. Strickland, PLS and entitled "Survey for Piedmont Natural Gas Company, Easement To Be Acquired From City Of Wilmington, River Road". A copy of said survey is hereto attached as Exhibit "A" and herein incorporated by reference as if fully set forth. GRANTEE shall have all rights necessary for the full use of the easement herein conveyed, including: (1) access to and from said easement; (2) the right at all times to keep the easement area clear of all buildings or structures, trees, shrubs, bushes, stumps, roots undergrowth, or other vegetation as will in its judgment interfere with the purposes of this easement; and (3) to construct, Install, operate, utilize, rebuild, remove, protect and maintain its pipes, valves, markers, cathodic protection equipment, anode beds and other appurtenant devises in conjunction with said gas facilities; SUBJECT TO the now existing physical easement of pipes belonging to the Cape Fear Public Utility Authority and a reservation for a future conduit (2 inches in diameter) for service provider Time Warner Cable, or its successors in interest. This easement is revoked by its terms if GRANTEE fails to provide GRANTOR an updated survey indicating the depth of the installed transmission lines upon completion of construction, and thereafter upon written request by GRANTOR. GRANTOR EXPRESSSLY RESERVES the right to use all of Its land including that conveyed by this easement for all purposes not inconsistent with this easement, the North Carolina Utilities Commission, and any federal, state, or local law, rule, or regulation, provided that GRANTOR and GRANTEE agree that: (1) notwithstanding anything to the contrary herein, GRANTOR shall give written notification to GRANTEE and GRANTOR shall obtain written approval from GRANTEE prior to any activity as defined in Items (2)—(7) of this paragraph so long as Grantee's approval is not be unreasonably withheld; (2) the depth of said gas facilities below the surface of the ground shall not be reduced nor increased by grading or any other work and any slopes allowed within said easement shall ha nn ��o��o. nne /A.91 ... �._. ins, materials, junk or inoperable vehicles, satellite signal receiver systems, or other obstructions are prohibited within the easement area; (9) GRANTOR shall not unreasonably interfere with GRANTEE'S access or maintenance to its facilities; (10) t;RANTEE shall not endanger the safety of GRANTOR, GRANTEE, or the general public; (11) GRANTOR hereby conveys to GRANTEE the right to construct future pipelines in perpetuity subject to GRANTOR's approval which shall not be unreasonably withheld; (12) all facilities installed by GRANTEE shall be and remain the property of GRANTEE; and (13) GRANTEE may remove its property at any time and from time to time, expressly conditioned upon GRANTEE being liable at all times for the safe installation and removal thereof. By acceptance of this Deed of Easement, the GRANTEE agrees that it will transplant the 24 trees identified by GRANTOR from the easement area to another location on GRANTOR's land and that it at all times will restore the surface of the land to its approximate level prior to any of its construction or maintenance by fill and sod in a manner acceptable to GRANTOR so long as the same are not inconsistent with the express purpose of this easement. FURTHERMORE, the GRANTEE agrees to restore any curbing, guttering or pavement or landscaping affected by GRANTEE's construction and maintenance activities to the condition which existed prior to such construction or maintenance activities. GRANTEE agrees that it shall be responsible for actual damages to improvements that existed prior to this EASEMENT and any damage resulting to GRANTOR both inside and outside of the easement area caused by the construction, Installation, operation, utilization, inspection, rebuilding, removal, and maintenance of its facilities, and in going to and from the easement area, and shall be responsible for the breakage caused to any bridge and any damage to any road due to hauling to and from the easement area. To have and to hold the easement area herein described unto GRANTEE, its affiliates, successors, and assigns, perpetually and continuously for the uses and purposes expressly stated herein. Said GRANTOR covenants and warrants that it is lawfully seized and possessed of the property described above; and that it has good right and lawful authority to convey said easement for the purposes herein expressed; and that GRANTOR for Its heirs, successors, executors, administrators, and assigns covenants that it will warrant and defend said easement against any and all claims and demands whatsoever, except for encumbrances of record. IN WITNESS WHEREOF, the GRANTOR has executed herein legal instrument, this day and year hereafter subscribed and acknowledged. City Clerk A�Atiorn�ey rovd m: NOTARY ACKNOWLEDGMENT STATE OF: North Carolina COUNTYOF: Brunswick I, the undersigned Notary Public, do hereby certify that Penelope Spicer-Sidbury personally appeared before me, and who being duly sworn, that she knows the common seal of the City of Wilmington and is acquainted with Bill Saffo, who is Mayor of the City of Wilmington, and that Penelope Spicer-Sidbury is Clerk of the City of Wilmington and saw the said Bill Saffo, Mayor of the City of Wilmington, sign the foregoing instrument, and saw the common seal of said City of Wilmington affixed to said Instrument by said Mayor, and that she, the said Penelope Spicer-Sidbury, Clerk as aforesaid, signed her name in attestation of the due execution of said Instrument in the presence of said Mayor of the City of Wilmington. Witnpcc my han.l --A ..u: _: _i ___, .,.. .. - _ th ANEA OF: I SO. FT. ACRE PROJECT LOCALIZED FROM POINT /I PROPOSED E45EMENT 43,570 1.00 ORID+COORD NATES . E ... ...... TEMPORARY' ..••.• E, 2]00324.B9 .WORN SPACE::.':.':.::'. t],161:.. p.S[5 ... CF: 0.9920-10"29 THE STATE PLANE COORDINATES (SPC) FOR THIS PRDECT WERE PRODUCED M" VRS CPS OMERVATIMIS AIM PROCESSED WTH WO SOFTWARE ON FEB. 9, 2009. THE NETMAK POSITIONAL ACCURACY OF THE VTS DERIVED P09TONAL INFORMATION IS 0,042 ARID SURVEY CLA55 MEETS OR EXCEEDS CUSS B. HORIZOJTAL POSITIONS ARE REF]IDNCED 70 HAD B}/NSRS 1100T) VERTICAL PDSIT"S ARE REiERINCED TO MAYDB6 USING (6Ed009) COMEINED FACTOR: 0-9999394129; GEOID MDDEL OEOMODI UNITS: US SURVEY FEET IPF NN 150—NH-10 '� CITY OF WILMINGTON DB. 2602 PG. 974 DB. 2602 PC. 977 PID: R07000-001 -01 1 -000 PIN: 31 25-03- 24 B6.000 �� 150-NH-09 SU7/NHE DURNB SMRH, q i HMRY W. III AND NANCY / ORTON,l, S. HORZON, TRUSTEES OF EYNCT C. STST IRREVOCABLE 00.254P 711U5T PROPOSE. OB. 26T4 PC. 1B2 so PIEDMONT NATURAL MJ3 P0. 177 OAS EASEMENT \\ PI p, fl07000- 002-008-000 \ PROPOSE" 50' 1 l\ \ pIFOYOM HA7l11fAL � \ OAS UUTEYENT q�eG 1 1 1 \ rpo.,p0 1 1 1 \ <40 i 1 1 \•�`B4E'PR 4 J 1 11 \\ D.'Do� LINETABLE UN LEMON B LT 119.38 56'47 L2 IN lJ I.F..Tt L4 DB.D .O. L5 30.00 L6 1 'E C L7 119.3.33 6 66'47 LB 15.0p AO'29 L9 119.34 LIU 20.D0 6 1 LEGEND, IPF O IRON flEBW FOUND MY O IRON PIPE FOUND )3(COMFUIrm POINT • EISEIARPOW ASOFEEyyD' --- •--�- NOPE721Y BDLWDARY -- - - PROPOSED EASEMENT -- - - �- EASEYEM AS DESCRIBED TEMPORARY WORK SPACE - — - ADJOINER PflOPERTI' SCALE 1•= zoo' D 100 200 40D my-, • FOR 60URCE OF TITLE REFER TO DEEDS AND FLATS REFERENCED HEREON. -ALL DISTANCES ARE HORIZONTAL CROUO DISTANCES III U9 SURVEY FEET UNLESS OTHERMSE NOTED. •AREA BY COM MATE COMPUTATION. • PROPERSY SUB.ER TO ANY VAUD 1, ENFORCEABLE EASE1REi175. RESTRIC710N9 • RIO TS DF WAY OF RECORD. IPF CAS LINE � 01l I R0g0 VICINITY MAP I (NOT TO SCALi CONDOMINIUMS, LLC ` I ( PID: pR0]OU9� DOG•-0063 Coo I � PIN: 3125-1{-40]3.990 1 �Y I � PACE R111PENOE CE SOUTH HOA, INC. 08. 5D04 PG. 1310 PID! R07006-001-028-000 2$-12- 00 \ �JJ 1�� \ 1 \ \\IR N PIPE FOUND :. W: I32]83.17 LIO :E 232118].S6 • GRIP\C\OO\RD` .III WASTE MANAGEMENT OF CAROLINAS. INC. DIE. 1017 PC. 6O7 PID, R070DD-001-017-ppp PIW }125-11-0966.0p0 I R 6 ' 1 11 _ TYPICAL EASEMENT 2 11' UYOIR (1475) REVISED: 09/08/2012 - EASEMENT CHANCES - WRH 1, JAMES L SRCK AND, PLS L-4247. CERTIFY THAT THIS PLAT WAS DRAWN woo MY SUPERMSION FROM AN ACTUAL SURVEY YADE UNDER MT SUPgtASIpN (U® pE5(AIPiIOI RECORDED CAM. SON PANE 366k TUT TIE BOMpATI llES NOT SIRHVEYED ME NdCATED WTN OA21FD LINES AS DRAWN FROM WFOIYATON IN BOOt SON PACE N6 OR OTHER R IENCE SOIRI[E: THAT TE PATIO OF PRECISION IS 1:10.00d THAT THIS PUT YFTH 11E REotIV EMIN S OF THE STARpM03 OF PRACTICE FOR LAND SURVEYING H NOiTI! CMOU14 (21 NCAC S&IBWk THAT TK PUT WA4 FRFPARED FOt TE PURPOSE 6 EAS°I°1T ACDU971O! DILLY, I� ITIE WiDFT OF ni°5 iui NAi 7EYEASP TOR DNNl T2 ENp YENPMaCEAL THAT THE CONTROL AND TIES TO THIS SURVEY WERE PERFORMED USN. GPS YEINCOS: THAT THIS SURVEY IS OF MOTHER CATEGORY, SUCH AS THE RECOMOIUTON OF E2115NN0 PMCE15. A COVAi-diD(Rm SURVEY. OR OTHER EXCEPTION TO THE DUM D" or w6dW ar, AA1p11N Illlfq WTHESS MY DRIMIA49GNATURE, UCEHA NUY9ER, ; \A�dCARDt�/ram AND SEAL THIS rs_ DAY OF ✓-dt'D 2W2 `� �¢'' ESSIp'•.,rY r r O� Zia 7'sT cA247 N�a EASEMENT SURVEY PREPARED FOR PIEDMONT NATURAL GAS COMPANY CITY OF_WI-MINGTON 150—NH-10I MASONRORO TOWNSHIP NEW HANOVER COUNTY, NORTH CAROLINA om_u ° E a, c a C, a ° o > 00 O m °I° ° rn N°^m v c; E W al d W d OL u�av 9F 0 y O N U a OF u ° E11 a O1 C 406 `ENGINEERS, PLANNERS, SURVEYORS 8020 TOWER POINT DRIVE CHARLOTTE, NORTH CAROLINA 28227 PHONE (704))841-25678 EXHIBIT F-1222 07/30/2012 1T n 4 f kvl�li' bull ,1 r; T. TAMMY THEUSCH BEASLEY REGISTER OF DEEDS, NEW HANOVER 216 NORTH SECOND STREET WILMINGTON, NC 28401 iff atfftf fltlf iff1f11R/•/t•fftf111t1ft1t11f/ff/1Rf//ttfffllf ttf///tffRlf••f/fflfRftf/♦•t1111t/RR lff•11RRt/f iif/f ttf••Rft Filed For Registration: 02106/2013 02:03:10 PM Book: RE 5709 Page: 2587-2590 Document No.: 2013004340 4 PGS $26.00 NC REAL ESTATE EXCISE TAX: $36.00 Recorder: JOHNSON, CAROLYN State of North Carolina, County of New Hanover PLEASE RETAIN YELLOW TRAILER PAGE WITH ORIGINAL DOCUMENT. *2013004340* 2013004340 RECEIVED E DCM WILMINGTON, MAR 0 7 1013 IC Division of Coastal Mgt. Habitat Impact Computer Sheet pplicant:A)VI-h Or+ f G� S Permit ate: 3 /7/ ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. ibitat Name A16 5, DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill I k Both ❑ Other ❑ 2� z oe( Dredge ❑ Fill or Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER 004336 SuitefiE 531 100 Carolino 28405 Four hundred DOLLARS AND 00/100 CENTS $400.00 NOTVALIDFOR AMOUNTS IN EXCESS OF $1,000.00 A ❑ INSUFFICIENT ADDRESS ❑ ATTEMPTED NOT KNOWN ❑ OTHER ■ Co7if .00S 0 SUCH NUMBER/ STREET item NOT DELIVERABLE AS ADDRESSED gent ■ Print you UNABLE TO FORWARD�ow so that A idressee ■ Attach th Delivery or on the 1. Article Adc S-, (I Cf rk H.4,e S v W,It-,' q � a , s�;� - row IV Z$L103 s —.,—y auuiess oeow: u No 3. Servi ype LXCertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7011 2970 0003 4799 6331 (Transfer from service la 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: Qt k r�c�3 G���, LLC_ c% K zaN i3 �J GruhV:l le-, AIC, 2-765 6 �• r+nicie rvumDer (transfer from service label) PS Form 3811, February 2004 A. Signa e �( LTAgent �� ❑ Addre. B. Received by (Pri�Nam tC.Date of Deli 45- D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No a. service lype 93'6ertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. RP¢trirtm noii. ../) ic....., c__. 7011 2970 0003 4799 6324 Domestic Return Receipt u Tes 1 n2i4SllAM_1 Fnn