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HomeMy WebLinkAbout48363D - Hinnant ., : AMA/ li]DREDGE & FILL 1 ENERAL, PERMIT Previous permit# ew LI Modification LI Complete Reissue Li Partial 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 15A NCAC ---2 ) - Jules attached. 't4ICIlart-ct-.1..'.4'..1"\T.t;)ItijZit.;""1- 1‘' ' - Project Location: County e.)OS L..... i...,---) •::': .': ,,ir 1' ' • 1--V;VilkaCX-'.....• I. LTG 9 -Ciq 1>tb WA.C.'Y•• S4 WZASS.' Pg Street Address/State Road/Lot#(s) v.)e P4t6S _ FE La-1 State IV(...-- ZIP Z-A14(/* . Lib (9 ID) 3Z-7)-0-79C) Fax#( ' ' ) - - '=. - - Subdivision (1_,1..\ta,c\,...v c_lc, 514". 41-S S zed Agent -'' : ''.----- .. '.-- . . City 54 Ai .S F&erLi ZIP Z.4324(, .... a CW rnW YPTA DES OPTS Phone# I• )5 Z-7 - 0—)CI 0 River Basin\A!IA't 11 0 OEA 0 HHF C IH 0 UBA 0 N/A Adj.Wtr. Body clA LI It 2.0 S .....11....t.S V- (nat(1 0 PWS: O FC: Closest Maj.Wtr. Body 1J° '''''' (1--T yes Cs) PNA 1; / no Crit.Hab. yes / no If Project/Activiti)(_?2:t V' P\-V-i (iiXto Z....,D-1... ' ?-s il ft, ,,_)/ p \ c, )( 11,, a- (-z \ I 1 - (Scale:/ .: ,. ock)length L A Z".'21 --- -------7 .. 'warm/ I Vgdrt—. --.,--.------ • I.'" - -;./.rirtie,-- :- pier(s) I ' liNeit.D - 1 SDI JM . , -.. ad/trap length L (g distance offshore __ • __ _______ , •.. lax distance offshore ---7.44-` — ds yar . CA --t jtIt. -COS — 414— mp Rox 40 LI) , I crisior 3ulldozing .1 — i : ‘ ---5---- ------- : I -y.11 ne Leng ---atiy th I-S3' ( , I 1 notsure yes 4111%! i sie ri3 gs: not sure yes. ORO — kilAt. Mej/2,144(26/ g7( L I irium: n/a. yes: 4114 I ; : yes\-11111 , Attached: yes Val 15 L. ling permit may be required by:0A)<.\),i;\k...., ,.) CM . 0 See note on back regarding River Basin r I Snastiall rnnelitirine 29 07 11 : 46a Jerr and Jill Hinnant (910) 327-1621 p. 3 (.. 3z1bLe±t w1-14 t 3,- 37-f-rowN COvEg 16 - ! ''..,,,,, LA 1,---1 i--- 1 ': J : I I 1 16i , _ , Lit: . _i______H I 1 0 n i !'- 1 .... . : 1.7_, _ f : 1- 1 •• , ilL j --L. '''i 1 I ; I — ir 1 L m) E PI 'PT:A P.4T R .1. - i I1 1 LLi 1 1 1 :--1-1—] 1 1 i II , 1 1 r- - il • , 177 1 1 , 1--- , 1 i i II I 1 i. 1 I I .i i ii 1 , - --1 , • , ! , , i I 1 0 li )1z!si I 1 1 i • i . • • ,—j.---_--J.—_ 1 ! I 1...___1 _ —,---1---L—i — ._ __a___ . 1 : ! I i i lk— • --' IS- ...- 3 i! I ' ,..)______" ...._•______, • i I ! ! i r 1 1 1-1---'— L I . I j : , : ! i 1 _k__.. . . 1 : i i 1 „it J -3 , i —1. 1- 1 L r 4.___„.........4_4_1_, .-L_J i I i I 1 . r ) I I I 1I 1 1 4 I . . i 1 L I • i, I .,,......_:•____:„ , ! ! I I i 1 , 1 1 1 ! I ! 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LI ,S_AirANP S tEtr$.,,,r0.(k 1 PAV! ----- I)• NR i I 1 1 i I I kell'601 _i__' CiaV.Eg 60'1 ;4741_ '-. F Ott:Fir kt pi' k./.1--:-Jli s . 1 , I 1 I I 1 I . t---'M 1 1 . Li I 0 ._v_7“ CO f ..._ 4...... _1 _.... ...„....._.... ______ ,. ; --„, : . _. . .„,, 1 7. . . ... .... ._. v„ __ __.__—__. _ ___a - --,___ __1_----_-_. i --_._- __.__-..._� �_.l.-.._, -i i-' __..___All_.__ ___.._ _______ ._ ___ _.--- IP 1 .., -HI 11 -- - �. __.�,- -- - -- - � �_ -- j .. _ _____l__ I _ CAMA / DREDGE & FILL '0ENERAL PERMIT Previous permit# ew Modification Complete Reissue -_ Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources ,� / _,, Zoastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 Rules attached. it Name J t:t• - t\ it,L,ON- Project Location: County E)A)S(.�..r, Li 69 C H%),D,ry i c- *. Street Address/State Road/Lot#(s) tJEINNS 1 ELa1 State '/ ...- ZIP Z2y(..'t:. 4(g C....4-1A1�v1/#it SPizat S I (910) 3Z-)-3 1SC Fax# ( ) Subdivision tNovuZc c. 50--,ct fs :ed Agent City 51,4e F&QiZ -) ZIP Z4314(, ❑CW . FEW A ❑ES ❑PTS Phone # (3 1 )3Z7 • 07 9 O River Basin W kr i ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body In LL A a.n S G.ILt S (na ❑PWS: ❑FC: n yes ' no PNAcii I no Crit.Hab. yes / no Closest Maj.Wtr. Body 1 w tLT �C 1'— f Project/Activity NT Y Pcs ) LD X �� r L,)/ 6i ) (. )( 1 lz d' (Z \ I o (Scale:/ =5 )ck)length g /I,__i A Z.00 • I 1 A . ngth — — ri --- i • , • I I —1 amber / y'f i LW Riprap length i.�li • •7 ' + X o7, IriL I_ .. g distance offshore _ • •.— S ax distance offshore _ _ _ - 1 _i _.. L—----- i hannel . ibic yards - —i— mp //,/,/, bulldozing I-1i ± 1 ' — ie Length 1 J 3. not sure yes no s: not sure yes no 4`L rium: n/a yes no ! i Attached: yes no } ing permit may be required by: 0I04N1.��� C3 I I See note on back regarding River Basin r • • • 3611 66-30/531 d Date -S l 0874 0 YR 00/0 C v °liars 8 _ ANK • _. rt ,+ 874523379411' 036 - GUARDIAN®SAFETY BLUE WDBL ilo' rgol,r, silloREz ).//0" T-f • ik ccl!1%,KO I 11-10' FRIN\ SticIRrz 31.3'1 1 95' F&eiY-,,, s or,E 7- 3'L" 1 • — r tic i i a i--;. C C • - C --,, „ ,....-----_ ' .,,...—.., \ , .., ._„,____ - (.•- 7\ ___ ______ ___ ,e.) —--I • *. t :\ v. I` '.• ----__, 1 P: 1 ; ) o& • I - . . , ,, .; , Eri. 0 Nn * I-40 •>e:. 1 C3 i ( 10/C 11--— Licv. ,.. ....316ir) . c 1 6„4 . yo, L),.?0 0,.-• .s )_st f,,,s,, t tg , ' i I IL hi . i 7- 1 14 I 4. '1----.2 if(D' t..V.yi.;=_...----,4 4 1(0 ) i. 'k 4, - --1 :' 40 / Os •Y ; A:•c:5T F: t.) \ ../, i 1 N1 4,.ppRoxr/0\PCr r ( vvki-E K DEPTAS TA/ F Rt.NV.S )-1 o k E LI N. -----,,, Low ?...?I s k art 1 • , , ,-----i , 4-1 Ail.) 'f.-------4. 1 S 0 ) Tvity Ftn-L 2-NTO FILL/.P.A.D C k-F r --,.... !,_.... . - - -2-7-7*:::-------, --.. 2/ Fp01,,, .5 E z (c,) . ,7 0 ,. -----, . __, /)_o' Fro h94, S 1lo fl E z .'/a"w ) y d' r R0 T\ S ttc)R F= 313" W " 1-' ' FR*m. SMlo&t,E= 3'L" w — 1.- 0 I 4 i=4 ' C g '....,.c't_. ( — . - L' f\ - rsT‘rs , � --- Bova 4 S (G- C, ey2 Y...(X o 4, — v o �. PiL 5 FOIL_; gaflT ,' _ II ��o ��) yo 'yc 1t0 ' f , � % (L'��-) o a, E' I�•� ® via' 9oa.`C s ) ,`Ps A Ir g„ Iv Eb'i' Eta )( ' ) 4 . I. . . ,...,....,...., . 7 _. . wkl-E D P S TTP, _..; FRow.S 140/2E Li WE �"" LowTIEDE PNtoMr l 'I—El 1 o -._ „IA, ,ep -. ItvTo FILL I_AR.D CR-Er) M ` --' 2 O Flo i/ aiii- 1-t'i�'.._ �.. N .Sl�otz. �u CERTIFIED MAIL-RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for the permit: -ERRY Address of property: `F Gp'7 Cl/ADCOCK S1-/6,E3 DE/vt, (Lot or street#,street of road) SNe/}DS FEAR y (City&County) I hereby certify the I own property adjacent to the above referenced property. The Individual applying for this permit has described to me(as shown on the attached drawing)the development they are proposing. A description or drawing,with dimkAnsions,should be provided whit this letter. I have no objections to this proposal If you have objections to what is being proposed,please write the Division of Coastal Management,400 Commerce Ave.,Morehead City,NC 28557 or call(252)808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver Section I understand that a pier,dock,mooring pilings,breakwater,boathouse,lift or sandbags must be set back a minimum distance of 15'From my area of riparian access unless waived by me. (If you wish to waive the setback,you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement I do not wish to waive the 15"setback requirements Ac\S 7 Si gna k bate '.i USPS -Track& Confirm Page 1 of UNITED STATES POSTAL SERVICE Home 1 Hem 1 Sn l Track&Confirm FAQs Track & Confirm Search Results Label/Receipt Number:7004 2890 0003 7345 8440 Status: Delivered Track&Confirm Enter Label/Receipt Number. Your item was delivered at 2:45 PM on May 14,2007 in JACKSONVILLE, NC 28540. Go a Additiotra1 Details Return to USPS.corn Horne: — Notification Options Track&Confirm by email Get current event information or updates for your item sent to you or others by email. (Go>) riiPOSTAL INSPECTORS site map contact us government services jobs National & Premier Accounts Preserving the Trust Copyright©1999-2004 USPS.All Rights Reserved.Terms of Use Privacy Policy LISPS - Track& Confirm Page 1 of aUNITED STATES POSTAL SERVICE, Femme I Help I Sign Ii IIIIIIIIIIMMIIIMIIIIIIIIMMIMIIIIIIIIIIIIIIIIII ----------- Track&Confirm Ms Track & Confirm Search Results LabeVReceipt Number:7004 2890 0003 7345 8471 Status:Delivered Track&Confirm Enter Label/Receipt Number. Your item was delivered at 10:43 AM on May 9,2007 in NEW BERN, NC 28562. Goy 1 Additional Details. Return to USPS.cont Horne Notification Options Track&Confirm by email Get current event information or updates for your item sent to you or others by email. Go> IlPOSTAL INSPECTORS site map contact us government services jobs National & Premier Accounts Preserving the Trust Copyright©1999-2004 USPS.All Rights Reserved.Terms of Use Privacy Policy • pRcPoSFb PIER W.rTi (a.- FAc ) BOAT SL.7. PSJ I -ERR dL 3rL . Pir � � � CHAbvJICk stalizES D \JvE S N F A D S .�,� }r e'er, C Description Op ' 19;F9e/ 6`whie2, w; r:',Q _e - Yo 'x 16' BaAT - _ , r?2, a-- - coVefC b PAv;I oisi v; rt` STEPc 'Ta wo.TER/ A Lz/a Zr /iTr- -ce - oPe.1/ PAvi i :ot4 . PleR a- &OAT Sl ;rS ARE DEScr 'BF1D ; a1TAC E4) IZi-+Wt )' G. AND \AA )I 13 .F CE TFk .t oisiRAct_ . cqf ECZTy L.ZN F) FACT END i , G,- TILLTT FALL. . gD cKF.r/ 0 Fw.kTHEf< T//AN MaST CABER LE: Af ! ToTAL Wibl'ii 6E PiER - eOAT s i- iPS /pit RE OVEN D! FROA/\ Ei THFR Si DE Pia ,' . , ''` ; .V.E f o (Z ADS'AC.E, CPARIAij AREA . "3-E R Ry - ILL NZNNANT I/4 9 C NAD W✓%c K S AcilLES D R1✓E sNFAos FEf ky, iJ, G. 1.Sy60 CG0T# y0) � o 0 Cf-IADWICK SHORES DRIVE C �S =9979 — 60'R/W 0 I 40.00 S 7/°39147"W 141.94 e J C a'3`_ cr CG a IN\ 20.8. 03 GARAGE O Q- t 93 6,7 111111 , d, �'� if.3• 25,3' 9.7' 2 I ,U _ O N � � 9.7,E , co0 ark--_______ i Fcx''vbRTiof.1 ,, f o0 N O i 70.3 Z,v 'a 34.6• w ! • O 5, GE O C) > ° • o r"'` 00 � *. Sk 3 X i IS 0 7) v13o spa 2 s WATER hw P 773A-43 NS 04 733•e0 N. - 773A-41 0 40 ??O ebb. 773A-39 00 773A-40 w ti 773A-38 ,aN OS � ` '0's. 00 �y f�G*y� Cr;P 1Q: 773A-144 773A,37 G� 773A-143 11 G 142 Parcels Map & Data Tax Parcel ID 773A-40 NC PIN Number 428802587936 Tax Record Number 30280 Owner's Name HINNANT JERRY L & JILL P Plat Book and Page 19-075 Deed Book and Page 2550279 Date Deed Recorded 11/4/2005 Deed Stamp Amount 600000 Tax Acreage Charged 0.88 Abstract Tax Value 572750 Current Tax Value 572750 Land Value 425000 Structure Value 145518 Other Building Value 2232 Improvement Code D Heated Living Area Sq Ft 1586 Property Address 469 CHADWICK SHORES DR Township Code 114 City Code 0 Neighborhood Code 530 Property Description CHADWK SH S1 BADFRO Zoning R-15 Jurisdiction COUNTY/PHASE II Create Map Print Page Print Map Property Record Card Print PRC Get Parcel Adjoiners Adjoiners o* APPLICATION FO: 1,1 CAMA MINOJ DEVELOPMEN PERMIT In 1974, the North Carolina General Assembly passed the Coastal An Management Act and set the stage for guiding development in fragile al productive areas that border the state's sounds and oceanfront. Along wi requiring special care by those who build and develop, the General A sembly directed the Coastal Resources Commission (CRC) to impleme clear regulations that minimize the burden on the applicant. This application for a minor development permit under CAMA is part the Commission's effort to meet the spirit and intent of the General A sembly. It has been designed to be straightforward and require no mo time or effort necessary from the applicant. Please go over this folder wi the Local Permit Officer(LPO)for the locality in which you plan to build be certain that you understand what information he or she needs. Under CAMA regulations, the minor permit is to be issued within 25 da once a complete application is in hand. Often less time is needed if tl project is simple. The process generally takes about 18 days. You ci speed the approval process by making certain that your application is cor plete and signed, that your drawing meets the specifications given insii and that your application fee is attached. Other permits are sometimes required for development in the coastal are While these are not CAMA-related, we urge you to check with the Loc Permit Officer to determine which of these you may need. A listing is i eluded on page 2 of this folder. We appreciate your cooperation with the North Carolina Coastal Manag ment Program and your willingness to build in a way that protects tl resources of our beautiful and productive coast. Coastal Resources Commissii Division of Coastal Manageme cality Permit Number ean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other (For official use only) ;NERAL INFORMATION LND OWNER -( me JERKY I7 /WN14WT dress 116 / CJ714()t.ii cA D/E5 77EI l/E y S/IE Ds FERig I State N C • Zip Ai _ Phone 9/°l 3,2'7 )7d1O JTHORIZED AGENT me dress y State Zip Phone (CATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront,what is the name of the acent waterbody.) 4(0 9 C 4/ D W I Ck .514 Dig&5 DR I vt - hrATA CEN T T FVLL A,2I CPEE,' - SNEADS FER12V, N .C. a841to :SCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 1'/F,e w Tie r A-r ,5I-r PS 'DE-so uPTo1J bRAuwitK, AT icNE6) FE OF LOT/PARCEL. square feet ' SS acres OPOSED USE: Residential (Single-family Multi-family ) Commercial/Industrial ier 1TAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON- NTAL CONCERN (AEC): NM square feet (includes all floors and roof covered decks) :E OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES IN THE IASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): N/R square feet ticulations includes the area of the roof/drip line of all buildings,driveways,covered decks,concrete or masonry patios, that are within the applicable AEC.Attach your calculations with the project drawing.) oose the AEC area that applies to your property: (1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC (2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC,adjacent to Outstanding Resource Waters !'tl..,:ft,;., A L'r, IER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA minor development lit.As a service we have compiled a listing of the kinds of permits that might be required.We suggest you check over the list with LPO to determine if any of these apply to your project.Zoning,Drinking Water Well,Septic Tank(or other sanitary waste treat- t system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA Certification,Sant e,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and others. kTEMENT OF OWNERSHIP: e undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a on authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the on listed as landowner on this application has a significant interest in the real property described therein.This interest be described as: (check one) _an owner or record title, Title is vested in _TERAy 4,JILL N/NNRNr, see Deed Book asS50 a1.19 in the DN•5 I-D W County Registry of Deeds. _an owner by virtue of inheritance.Applicant is an heir to the estate of ; 'ate was in County. if other interest,such as written contract or lease, explain below or use a separate sheet&attach to this application. rIFICATION OF ADJACENT PROPERTY OWNERS: thermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ['UAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) (Address) ?NoR 5YWANK ac f1ENDE2saN 7R. JHcksaNv)LLE, I/L , OMI E JEN K/NS 3mi? && IDLE PATH, NC Ai BEkN nl,C, cAS„ t DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: :nowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible osion and/or flooding.I acknowledge that the local permit officer has explained to me the particular hazard problems ciated with this lot.This explanation was accompanied by recommendations concerning stabilization and floodproofing piques. tMISSION TO ENTER ON LAND: thermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents Ater on the aforementioned lands in connection with evaluating information related to this permit application. application includes:general information(this form),a site drawing as described on the back of this application,the ership statement,the AEC hazard notice where necessary,a check for$100.00 made payable to the locality,and any oration as may be provided orally by the applicant.The details of the application as described by these sources are rporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of SITE DRAWING/APPLICATION CHECKLIST lease make sure your site drawing includes the following information required for a CAMA minor development permit. 'he drawing may be simple and not necessarily to scale.The Local Permit Officer will help you,if requested. 'HYSICAL DIMENSIONS Label roads Label highways right-of-ways Label local setback lines Label any and all structures and driveways currently existing on property 'HYSICAL CHARACTERISTICS Draw and label mean high water mark Draw location of on-site wastewater system 'you will be working in the ocean hazard area: Draw and label dune ridges(note height) Draw and label toe of dune Identify and locate first line of stable vegetation Draw and label setback line under CAMA Draw and label topographical features(optional) 'you will be working in an estuarine shoreline area: Draw and label landward limit of AEC Describe terrain(slope) 1EVELOPMENT PLANS Draw and label areas that will be disturbed If a house is to be placed on lot,describe location of house Note size of piling and depth to be placed in ground Draw and label all areas to be paved or graveled Describe composition of surface Note and list fully all trees and vegetation to be removed or relocated Show landscaping OTE TO APPLICANT ave you: • completed all blanks and/or indicated if not applicable? • notified and listed adjacent property owners? RECEIVE • included your site drawing? DC M WI L M INGT01 • signed both application and statement of ownership? • enclosed the$100.00 fee? MAY 2 9 2 00 1 • completed an AEC Hazard Notice,if necessary? FOR STAFF USE DCM Permit Monitoring Program Permittee's Name kf tl%jai Permit # A Field Rep J Project Location: IlAtzkAdt Sitrni4 bate Monitored: O (�,Q 10'1 Applicant/Contractor present? • Work complete as permitted? Y or NE 2. The following modifications were made to active.permit for unauthorized work: Catati24 twcr19 6 3. The following unauthorized development occurred: 5A14AV • •V Ic /11001/0 NOV date: 10 j7 NOV number: 0/2—C.H Comments: - SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. item 4 if Restricted Delivery is desired. \p� Agent • Print your name and address on the reverse X ,"� N"� - ❑ •dres.ee so that we can return the card to you. B. R• ei�tl by( tea e) 'I,�. Date. Del' e OS' • Attach this card to the back of the mailpiece, 0 �� V /V or on the front if space permits. 7 D. Is delivery add . different from item 1? 14 Ye- 1. Article Addressed to: If YES,enter delivery address below: 0 No �c7c-, Sy NK (2 NENbER 6 D n/ De Si KS)n/ LJ/L<-E N,C. o 5q0 3. Service Type la Certified Mail 0 Express Mail ❑ Registered 0 Retum Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number 7004 2890 0003 7345 8440 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 S DER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X$214 /��t�❑Agent Print your name and address on the reverse /G,ff so that we can return the card to you. ❑Addressee • Attach this card to the back of the mailpiece, B. Received by(P ted Name) C. Dat of De very or on the front if space permits. e JPilo).S n 55�n9/D 7 1. Article Addressed to: D. Is delivery address different from item 1? Yea If YES,enter delivery address below: 0 No FRS. 8649E JEN/Kinrs 30 2/7 BR/4.LE /iJ i,f / r G 3[/e N,(. 5-6 3. Service Type l3 Certified Mail 0 Express Mail ❑Registered aRetum Receipt for Merchandise ❑Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) 7 0 0 4 2890 0 0 0 3 7345 8471 PS Form 3811, February 2004 Domestic Return Receipt 595-02-M-1540