60677D - SECOF

21CAMA / DREDGE & FILL NO. 60
E N E RAL PERMIT Previous permit #
New C- Modification Complete Reissue CPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources / �y
Coastal R sources C mmissign in anrea of enyirpr�nen conc purs t to I CAC
<�%7; L.� C �JK�i MKkulesattached.
Rt Name �C e . J Project Location: County �%z,. bTLj"4�
s l Street Address/ State Road/ Lot #(s)
, U L G-Cc, StateJV ZIP IOYW ("Ap! `«i R/W.
Fax # ()A
zed Agent
CW EW - PTA ES - PTS
`P10EA V,4HF IH —UBA _ N/A
- PWS: ❑M
Subdivision
City Cyr -,*1Aw ZIP
Phone # (_ ) .Sd**�e River Basin C1411'
Adj. Wtr. Body 1�04-14of f /e-
yes J'no` PNA
yes /
Crit.Hab.
yes / or
Closest Maj. Wtr. Body
f�f �� lle''4a-
A Project/ Activity
L �7S
f� ��G? ���:�
�J
7 s7r4
mil. S-,C.. -o',
ock) length
pier(s)
ength
umber
ad/ Riprap length_
vg distance offshore
iax distance offshore
channel
ubic yards
imp
use/ Boatlift
3ulldozing
0"
oe Length
not sure
yes r
gs: not sure
yes
rium: n/a
yes
yes
Attached:
yes
ing permit may be required by: letr/r/ d/ ( Lirb�S� /gc�tt�� ❑ See note on back regarding River Basin

2 1 bool'S 2 1 bbbE9ZE
COW E-F
iA tE9/LZ-C9
U60

iplicant:
ite:
113
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
ritat Name
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
ount)
Dredge ❑
Fill ❑
Both ❑
Other
Qp%%
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 ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑

W,
w�.,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
everly Eaves Perdue ,lames H. Gregson
iovernor Director
Dee Freeman
Secretary
AGENT AUTHORIZATION FORM
Date:
3me of Property Owner Applying for Permit: Name f Authorized Agent fojthn's project:
Aiz-: s✓ A /-M z YO�s,_-i� x
wner's Mailing Address:
'hone Number
Agent's Mailin Address:
O
Phone Number('9/:3)_- 750-7
certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
'or and obtaining all CAMA Permits necessary to install or construct the following (activity):
(my property located) at 3 /.�T-10 c Hr G�
This certification is valid thru (date) // - / - 03
AC �
Property Owner Signature Date

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
everly Eaves Perdue .lames H. Gregson
;overnor Director
AGENT AUTHORIZATION FORM
Date:
ame of Property Owner Applying for Permit:
�c1rd /�'kG 2.°4e4 1-4,s-4
wner's Mailing Address:
/tot a L-cs ke a k v
tge «cG IV-C 25Y22l
Dee Freeman
Secretary
Name f Authorized Agent for this project:
Agen 's Mailin Address:
6 s r�
,3
'hone Number (9/0) 41y 8' S 4 0S Phone Number
certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
'or and obtaining all CAMA Permits necessary to install or construct the following (activity):
A 0-v4ell eil10"
(my property located) at 5, i A I -A a r I. e W
This certification is valid thru (date) tf / 5
Property Owner Signature Date

CERTIFIED MAIL — RETURN' RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN. PROPERTY OWNER STATEMENT
Name of Property Owner: _ NE W 14 h bTC-Ao
Address of Property:
Applicant's phone 4:
Av< J3t/-kcaj -Jr- 255/2'
(Lot o Street #, Street or Road, City & County)
$- 8 7�;- q `151 Mailing Address: 13 I 041 aw 51.
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this p
has described to me as shown on the attached drawing the development they are proposing. A description of dra
with dimensions, must be provided with this letter.
I have no objections to this proposal. �� I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DI
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drivi
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response
considered the same as no obieetion if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distan
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial th
appropriate blank below.)
I do wish to waive the 15' set back requirement.
V— I do not wish to waive the 15' set back requirement.
(Propeoy Owner Information) `(Riparian Property Owner Information)
lal!�Ilz /U&A-W
Signature
Print or Type Name
/ 3 1 0 S%.
Mailing Address
Signature
/Robtk 5.
Print or Type Name
qkq �Gncl�r.
Mailing Address
1 N. : I / . I A Ate,. 9 w

CERTIFIED MAIL — RETURN RECEIPTREQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIANPROPERTY D.WNER $TATENIOT
Name of Property Owner: C ,tociva &-4em Z4Ng -Al ctg� i LLC 66E404
Address of Property: Set 11AP
(Lot or Street #, Street or Road, City & County)
Applicant's phone #: 1710 -4Y g ' Mailing Address: / ZO Z N. &I bge Alage Z (.
6AXoc.J4.44 ,6tygeli PVC Z65YU
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this p
has described to me as shown on the attached drawing the development they are proposing. A description of dra
with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DI
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response
considered the same as no obiection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distar
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial th
appropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information) (Riparian Property Owner Information)
&WAq 4M
Sign tune
/"l/a -r ",-''ve-e f y _
Print or Type Name
Signature
Print or Type Name
f Za2 14. LgkE �itek B��O
Mailing Address
RECEIVED
Mailing Address D M WILMINGTOR N

SECTION .1900 — GENERAL PERMIT TO ALLOW FOR TEMPORARY STSUCTURES WITHIN COASTAL
SHORELINES AND OCEAN HAZARD AECS
15A NCAC 07H .1901 PURPOSE
A permit under this Section shall allow for the placement of temporary structures within estuarine and public trust shorelines
and ocean hazard AECs according to the provisions provided in Subchapter W A 100 and according to the rules in thi:
Section.
History Note: Authority G.S. 113-229(cl); 113A-107(a)(b); 113A-113(b); 113A-118.1;
Eff. March 1, 1989,
Amended Eff. August 1, 2000.
15A NCAC 07H .1902 APPROVAL PROCEDURES
(a) The applicant must contact the Division of Coastal Management and complete a general permit application forn
requesting approval for development. Applicants shall provide information on site location, dimensions of the project area
proposed activity, name, address, and telephone number.
(b) The applicant must provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian property owner.
indicating that they have no objections to the proposed work; or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of the propose(
work. Such notice should instruct adjacent property owners to provide any comments on the propose(
development in writing for consideration by permitting officials to the Division of Coastal Managemen
within ten days of receipt of the notice, and, indicate that no response will be interpreted as no objection
DCM staff will review all comments and determine, based on their relevance to the potential impacts of thi
proposed project, if the proposed project can be approved by a General Permit. If DCM staff finds that du
comments are worthy of more in-depth review, the applicant will be notified that he must submit a(
application for a major development permit.
(c) No work shall begin until an onsite meeting is held with the applicant and a Division of Coastal Managemen
representative to inspect and mark the site of construction of the proposed development. Written authorization to procee(
with the proposed development may be issued by the Division during this visit. All work must be completed and the structur(
removed within 180 days following the day written authorization is issued.
History Note: Authority G.S. 113-229(cl); 113A-107(a)(b); 113A-1130); 113A-118.1;
Eff. March 1, 1989;
Amended Eff. January], 1990.
07H .1903 PERMIT FEE
The applicant shall pay a permit fee of two hundred dollars ($200.00) by check or money order payable to the Department
History Note: Authority G.S. 113-229(cl); 113A-107, 113A-113(b); 113A-118.1; 113A-119; 113A-119.1;
Eff. March 1, 1989,
Amended Eff. September 1, 2006, August 1, 2000, March 1, 1991.
15A NCAC 07H .1904 GENERAL CONDITIONS
(a) Temporary structures for the purpose of this general permit are those which are constructed within the ocean hazard of
estuarine system AECs and because of dimensions or functions do not meet the criteria of the existing general permits (i.e. an
not a bulkhead, vier, ria-ran, groin, etc.).

questions concerning the proposed activity's impact on adjoining properties or on water quality; air quality; coastal wetlands;
cultural or historic sites; wildlife; fisheries resources; or public trust rights.
(e) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to make
periodic inspections at any time necessary to ensure that the activity being performed under authority of this general permit is
in accordance with the terms and conditions prescribed herein.
(f) This permit does not eliminate the need to obtain any other state, local or federal authorization, nor, to abide by
regulations adopted by any federal, state, or local agency.
(g) Development carried out under this permit must be consistent with all local requirements, and local land use plans current
at the time of authorization.
History Note: Authority G.S. 113-229(cl); 113A-107(a)(b); 113A-113(b); 113A-118.1;
Eff. March 1, 1989;
Amended Eff. May 1, 1990, March 1, 1990;
RRC Objection due to ambiguity Eff. May 19, 1994,
Amended Eff. August 1,1998, July 1, 1994.
15A NCAC 07H .1905 SPECIFIC CONDITIONS
Proposed temporary structures must meet each of the following specific conditions to be eligible for authorization by the
general permit:
(1) All aspects of the structure shall be removed and the site returned to pre -project conditions at the
termination of this general permit.
(2) There shall be no work within any productive shellfish beds.
(3) The proposed project shall not involve the disturbance of any marsh, submerged aquatic vegetation, or
other wetlands including excavation and/or filling of these areas.
(4) The proposed activity shall not involve the disruption of normal navigation and transportation channels and
shall be properly marked to prevent being a hazard to navigation.
(5) The proposed project shall not serve as a habitable place of residence.
(6) There shall be no adverse disturbance of existing dune structures.
(7) Development carried out under this permit shall not exceed one acre in size in accordance with 15A NCAC
2H .1002(1) and 15A NCAC 2H .1003(a)(1).
(8) No sewage disposal system will be allowed without a permit authorized by either the Division of
Environmental Health or the Division of Environmental Management.
History Note: Authority G.S. 113-229(cl); 113A-107(a)(b); 113A-113(b); 113A-118.1;
Eff. March 1, 1989;
Amended Eff. May 1, 1990.

CERTIFIED MAIL -- RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN. PROPERTY OWNER STATE..N .. 1 iT
Name of Property Owner: Mf W Ah STC-Aj q n LC.[ _
Address of Property: /// AIAAPA AYam' 6Q"t ju4 ,ee4ry . 4uC Z S5/2 t
(Lot o Street #, Street or Road, City & County)
Applicant's phone 9: 7 0- 8 % 3^ — Mailing Address: 131 U-V i ow ,Si.
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this p
has described to me as shown on the attached drawing the development they are proposing. A description of dra
with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DI
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response
considered the same as no obieetion if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distan
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial th
appropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information) (Riparian Property Owner Information)
Signature
Signature
fA14)eu6- Pr,ee-rZ _
Print or Type Name Print or Type Name
/3 / 411�4/011J S
Mailing Address
Mailing Address

SECTION .1900 — GENERAL PERMIT TO ALLOW FOR TEMPORARY ST5UCTURES WITHIN COASTAL
SHORELINES AND OCEAN HAZARD AECS
15A NCAC 07H .1901 PURPOSE
A permit under this Section shall allow for the placement of temporary structures within estuarine and public trust shorelines
and ocean hazard AECs according to the provisions provided in Subchapter W A 100 and according to the rules in thi;
Section.
History Note: Authority G.S. 113-229(cl); 113A-107(a)(b); 113A-113(b); 113A-118.1;
Eff. March 1, 1989;
Amended Eff. August 1, 2000.
15A NCAC 07H .1902 APPROVAL PROCEDURES
(a) The applicant must contact the Division of Coastal Management and complete a general permit application forn
requesting approval for development. Applicants shall provide information on site location, dimensions of the project area
proposed activity, name, address, and telephone number.
(b) The applicant must provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian property owner
indicating that they have no objections to the proposed work; or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of the proposes
work. Such notice should instruct adjacent property owners to provide any comments on the propose(
development in writing for consideration by permitting officials to the Division of Coastal Managemen
within ten days of receipt of the notice, and, indicate that no response will be interpreted as no objection
DCM staff will review all comments and determine, based on their relevance to the potential impacts of thi
proposed project, if the proposed project can be approved by a General Permit. If DCM staff finds that &
comments are worthy of more in-depth review, the applicant will be notified that he must submit ai
application for a major development permit.
(c) No work shall begin until an onsite meeting is held with the applicant and a Division of Coastal Managemen
representative to inspect and mark the site of construction of the proposed development. Written authorization to procee(
with the proposed development may be issued by the Division during this visit. All work must be completed and the structun
removed within 180 days following the day written authorization is issued.
History Note: Authority G.S. 113-229(cl); 113A-107(a)(b); 113A-113(b); 113A-118.1;
Eff. March 1, 1989;
Amended Eff. January 1, 1990.
07H .1903 PERMIT FEE
The applicant shall pay a permit fee of two hundred dollars ($200.00) by check or money order payable to the Department
History Note: Authority G.S. 113-229(cl); 113A-107, 113A-113(b); 113A-118.1; 113A-119; 113A-119.1;
Eff. March 1, 1989;
Amended Eff. September 1, 2006, August 1, 2000; March 1, 1991.
15A NCAC 07H .1904 GENERAL CONDITIONS
(a) Temporary structures for the purpose of this general permit are those which are constructed within the ocean hazard o:
estuarine system AECs and because of dimensions or functions do not meet the criteria of the existing general permits (i.e. an
not a bulkhead, vier. riv-ram eroin. etc.).

questions concerning the proposed activity's impact on adjoining properties or on water quality; air quality; coastal wetlands;
cultural or historic sites; wildlife; fisheries resources; or public trust rights.
(e) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to make
periodic inspections at any time necessary to ensure that the activity being performed under authority of this general permit is
in accordance with the terms and conditions prescribed herein.
(f) This permit does not eliminate the need to obtain any other state, local or federal authorization, nor, to abide by
regulations adopted by any federal, state, or local agency.
(g) Development carried out under this permit must be consistent with all local requirements, and local land use plans current
at the time of authorization.
History Note: Authority G.S. 113-229(cl); 113A-107(a)(b); 113A-113(b); 113A-118.1;
Eff. March 1, 1989;
Amended Eff. May 1, 1990; March 1, 1990;
RRC Objection due to ambiguity Eff. May 19, 1994;
Amended Eff. August 1,1998, July 1, 1994.
15A NCAC 07H .1905 SPECIFIC CONDITIONS
Proposed temporary structures must meet each of the following specific conditions to be eligible for authorization by the
general permit:
(1) All aspects of the structure shall be removed and the site returned to pre -project conditions at the
termination of this general permit.
(2) There shall be no work within any productive shellfish beds.
(3) The proposed project shall not involve the disturbance of any marsh, submerged aquatic vegetation, or
other wetlands including excavation and/or filling of these areas.
(4) The proposed activity shall not involve the disruption of normal navigation and transportation channels and
shall be properly marked to prevent being a hazard to navigation.
(5) The proposed project shall not serve as a habitable place of residence.
(6) There shall be no adverse disturbance of existing dune structures.
(7) Development carried out under this permit shall not exceed one acre in size in accordance with 15A NCAC
2H .1002(1) and 15A NCAC 2H .1003(a)(1).
(8) No sewage disposal system will be allowed without a permit authorized by either the Division of
Environmental Health or the Division of Environmental Management.
History Note: Authority G.S. 113-229(cl); 113A-107(a)(b); 113A-113(b); 113A-118.1;
Eff. March 1, 1989;
Amended Eff. May 1, 1990.

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estricted Delivery Fee
idorsement Required)
total Postage & Fees $
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■ 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:
Z l Z E C v' �� eSs iws
rfI- IM' ( 11s, Wj
29348
A.
S!
X ����
aAgent
L —
❑ Addressee
B. Received by (Printed Name)
C. Date of Deli 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) 7011 2970 0002 6293 6696
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 narmlrc
1. Article Addressed to:
U� OC r0 Ur >✓�C
hCX - C/-1 3
carpi , �a
�E �2_8_
❑ Express Mail
❑ Return Receipt for Merchandise
❑ C-O_n
(Transfer from service label) 7 011 2970 0002 6293 6672
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:
. %1
A. SignaWre
El"Agent
❑ Addressee
B. Received by( ted Name
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: YNo

■ 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:
Ccpfft S, IC I
9
2. Article Number
(Transfer from service labe
PS Form 3811, February 2004
A. �ig atufe
�(4dit
❑Agent
Addressee
ec ived by(C. Date of Delivery
II,'4f-n-I)
D. Is delivery add1? ❑ Yes
If YES, enter delivery address below: ❑ No
s. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4 R—trirtorl rl-i; ...n i
•, •• • •,•,7 LJ Yas
7010 3090 0001 1228 3179
Domestic Return Receipt
■ 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:
es, ►2 0WVIOL/
i
�abOx I�-II
l a hd , f L, 32-� 21
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
102595-02-M-1540
A. Signature
X [i Agent
❑ Addressee
13 Receiv by Printed Name) C. ate of Delivery
r a><�F ao-
D. Is elivery address different fro tem 1? ❑ Yes
If YES, enter delivery address below: Iy No
3. S rvice Type
Certified Mail ❑ Express Mail
❑ Registered [Peturn Receipt for Merchandise
❑ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7011 2970 0002 6293 9062
Domestic Return Receipt
■ 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.
A. Signature
102595-02-M-1540
X Agent
Addressee
B. Rec ived by (Printed Name) C. D t of elivery
1. Article Addressed to:
l 1 11, 101/�i-4;
D. Is delivery address different from item 1? b Yes
If YES, enter delivery address below: XNo

■ 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:
L�
A. Signature
X al Agent
I, Addressee
B. Received by (Print d Name) C. Da of ivery
n12X�hiClt i0. L4,61
D. Is delivery address ditfi ent from item 1 v PJYes
If YES, enter delivery5address below: I No
3. Service Type ([[[
C� rGi►�; Ge2�(k fNC ❑Certified Mail QE�'ressMail
❑ Registered ❑ Return Receipt for Merchandise
Z (, ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7011 2970 0002 6293 6689
(Transfer from service label)
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:
Nme m I NC, 4632
A. Signature
X
❑ Agent
❑ Addressee
B. Received by (Printed Name)
ate of Delivery
l.<hk(edt L�r
R
D. Is deliveryaddress differe from ite
If YES, enter delivery a ss belov
❑
NrrdZ
c
n
3. Service Type P `�
❑ Certified Mail ❑ Expr s it
❑ Registered ❑ Ret F eif Merchandise
❑ Insured Mail ❑ C.O. .
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7 011 2970 0002 6293 8973
PS Form 3811, February 2004 Domestic Return Receipt
■ Complete items 1, 2, and 3. Also complete
item 4 if Rest'icted 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.
A. S> ature
102595-02-M-1540
Xr r \ ❑ Agent
❑ Addressee
B. Received'b§ (Printed C. Date of Delivery
APR 19 rr
1. Article Addre�3sed to:
I \ I-) . , i Llni I
D. Is delivery address d'rfferent from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No

■ Complete items 1, 2, and 3. Also complete A.
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, BK
or on the front if space permits.
I. Article Addressed to:
QVI't W-N1vfNs
r. c �ic y 32-
(9voiiNg felth,tt
z�-g2S
9
Agent
Addressee
eiv b e N'me) C. Da t of livery
Is elivery address different from He 1? Yes
If YES, enter delivery address below: o
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
�. Hnicie Number
(Transfer from service label) 7011 2970 0002 6293 8942
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: CCOWPLETE THIS SECTI
ON •
SECTIONON DELIVERY
■ Complete items 1, 2, and 3. Also complete A Signa re
item 4 if Restricted Delivery is desired. �"' ❑Agent
■ Print your name and address on the reverse X
so that we can return the card to you. ❑ Addressee
■ Attach this card to the back of the mailpiece, B Received by rinte Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to:
RNIG LTD
bcX3(;103
�M ►NJ tG-N ; Ni;,
1 4. Restricted Delivery? (Extra Fee)
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
7011 2970 0002 6293 9000
Domestic Return Receipt
■ 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.
A. ggoature
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
J. ,ervice Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merohandisp
11 Insured Mail ❑ C.O.D.
❑ Yes
102595-02-M-1540
Lam/ ❑ Agent
❑ Addressee
J eived',0y'(din.tqd 4V�Wqe) C. Date of Delivery
1. Article Addressed to
D. Is delivery address different from item 1? ' ❑ Yes
If YES, enter delivery address below: ❑ No

■ 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:
I rS f YtIWI + N yto rS
i r iclm sl � ae f
0 W,K-2-7bo��
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
A. Signature
/ )�� ❑Agent
❑ Addressee
B. Received by ( ranted Nam) C. ate to Delivery
1 rn HO C G
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
7011 2970 0002 6293 8997
Domestic Return Receipt
■ 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:
M nth N I OWN YN
(Of N laQ ODI
(aVO Nq W( / N(,,,
Z� q 2�
102595-02-M-1540
A. Signature Agent
X I Addressee
B. Received 'y (P ted Name) C. Date of Delivery
D. Is delivdry address different from item 1? �es
If YES, enter delivery address below: o
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 7011 2970 0002 6293 9031
(Transfer from service label)
102595-02-M-1540
PS Form 3811, February 2004 Domestic Return Receipt
■ 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.
A. pinature
X PfAgent
❑ Addressee
PReceived bb�(Printed Name) jWteof Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
1. Article Addressed to:
i-'IKrsi) /(annn_�

■ 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:
Apple 61c"g7 5P6
�Wu bt.aciH LP
R�c,vr�aro, V� Z3219
A. Sianature
❑ Agent
❑ Addressee
B. Received by ( Printed Name)
D. is delivery address different from item 1? ❑ Yes 1
If YES, enter delivery address below: ❑ No
.j.z
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) 7010 3090
0001 1228 3193
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
COMPLETE THIS SECTIONON
COMPLETE•N
■ Complete items 1, 2, and 3. Also complete
A. Signatu
item 4 if Restricted Delivery is desired.
Agent
X !
■ Print your name and address on the reverse
dressee
so that we can return the card to you.
B. Receive Printed Nam
C. Dat bt Delivery
■ Attach this card to the back of the mailpiece,
' f S I'
or on the front if space permits.
D. Is delivery address diffeterit m item 1?
1. Article Addressed to:
If YES, enter delivery a below: o
or
USps
3 / %
O n J( 130
3. Service Type
V
❑ Certified Mail ❑ Express Mail
❑Registered ❑ Return Receipt for Merchandise
❑Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7011 2970 0 0 0'2 6293 9048
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
■ 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.
102595-02-M-1540
A. Signatu e
El Agent
X Addressee
B. eceived by (Pnn ed Na e) C jq1te of Qelivery
D. Is delivery address different fror� item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
1. Article Addressed to