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HomeMy WebLinkAbout49102D - Point GAMA/ DREDGE & FILL 4 3ENERAL PERMIT Previous permit# _'New Modification Complete Reissue ❑Partial Reissue Date previous permit issued irized by the State of North Carolina,Department of Environment and Natural Resources r-, ,r ��v Coastal Resources Commission in an area of environmef tal concern pursuant to I 5A NCAC 9/`T • Q / C. /LJi! / N Rules attached.£1 :H it Name MP, t / r700/^ / ,/lam tali 1--( Project Location: County /kl v /J4HOve#/ 1 S 29 Pe*,'„T I /b,v ,be, Street Address/State Road/Lot#(s) Vi 16rh/tu, to►l State M ZIP 2$'510/ -x/--f k7-,0 - f (1ON) nb2. ,310 Faaxr # ( , ") b€'2. . 3q Subdivision � -- : C-ed Agent PG IA / lel le t City `--741''1., ZIP /$�0; Li CW C�EVN G7•PTA I?ES ❑PTS Phone# ( ) 6-rsrf River Basin C i ❑ �,7 OEA ❑HHF ❑IH ❑UBA ❑N/A � / Adj.Wtr. Bod 1 , / ❑ PWS: ❑FC: yes / no PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body cG/ ,4(�r l/ it"f 1,./..t-,ray f Project/Activity jsti S7li/4,7 /,'•0'.to�7 /l' r ei'lg // t.,„,7/�/h/ ih 'h.S,Pr,yoz d fr,i1geyy /r)i dire re t i*7 �/e, '. ,r'z.z-pi I (Scale: >ck)length n(s) 1 >ier(s) - /\ V t€`,, Coil g/vf '�^ Ji ,ngth imber -- _— id/Riprap length , 1 ` 'g distance offshore ' ax distance offshore I 1 re r ( hannel n .ft 1 517k 5 ii,, S�D-✓A-7 lee- ,°rya ibic yards �t 19 /�'i/'/ .,.0 1., mp ` _� ? 0 ......iis_ use/Boatlift +� 1119 . 1 —��- — 1 3ulldozing L1/�1��/��/nr j I '° ;A ,t `,. Pip/oak-•-" lA ri ,, l' 1 r e-e r - J ,, ,i 7. ie Length >I/iD' 7 V ... J n " � /4/r/' A-e h r/tJ�//✓r _j not sure yes J gs: not sure yesj Lv �� rium: n/a yes ® �( r �/� L 9 , yes Y f Attached: yes - I i ' 1 - I . ling permit may be required by: �// (i'. /07/m,, t/h I See note on back regarding River Basin i THE CLARK GROUP ZO ' ©c• "'I CLARK ENVIRONMENTAL SERVICES,PC Branch kingNdTrustcompany DATE P.O. BOX ON,N WILMINGTON,NC 28404 66 112/531 PH.910.602.3900 AMOUNT 0 - Exactly Two hundred and no / 100 Dollars m 11/2/2007 $200.00 PAY TO THE I ORDER OF: NCDENR, Division of Coastal Management 1638 Mail Service Center Raleigh NC 27699-1638 a_ 0.9136/1 AUTHORIZED SIGNATURE .. 1 ` 3w:_d-c_. Ii'0 26449II. 1:053 LO L L 2 LI:0005 L L69659431I' /05/2007 10:45 9106023975- THECLARKGRDU PAGE 02/( NUY-Wt- i( 10:4l 1•rom: To:319150233T P.Z — — --- T r —ram uf.CAMA/ 1.1 DREDOE•c1LIL, N° 4919 i \i! GENERAL PERMIT Praerbuaperniv# VNew Li'Modification flComplete Reissue ❑Partial Reissue Dots previous permitiaauod As authorised by the State of North Carolina,Department of Environment and Natural Resources and tho metal Resources Commission In an area of cn Iron tali to ISA NCAC %/T .r (7p Applicant Name 1 h . r ,�'_ " /yl t• 1 �+� whed.ry-.••tl/ RP / r. r I /!'+A_ Protect Laeadon: County_, f*? H, zre„ -_,,, ' Address ISM efr J,1 u/ r, Sweet Address/State Rood/Lot#(s) City 1//11#1.0.-. . State At. ZIP ,'1' sfaV _. Phone#(9/v) aTe2,.2epe ' Fax#Or) 1.002,•�� Subdivtslon ..__._... .. _ . Authorized Agent eOEA City..-.---_ 7'r._ ZIP. 'r or* Affected7 CW r E I.►Th J tiffs n rrs Phone if _ -(_ .) River Basin El saEA i'l WV IIliO USA r.J N/A F AEC(S): �l PW9, lDFC: Ad),Wtr.Boas!'. -� Cam. +S r-- -_ ._....__.4arren-M1 OW yes !c, PMA / / no Crlt.Nab. yea / no Closest Maj.Wtr.Body.._.. �� til lC►stapa.0cr/y 1Ypp of P ect'Acwlh rrs77vf/ea�fi%n 'P y.1,'1 J_ieggli�h�_,47 r�r, t i4 / � teei►" dii✓f e � 1k C' ./ Yr�ib. l ....• , (Scale: Pier(dock)length /J ` Plarfesrm s--- , O Jt 1 ` 1 _I Finger Pig(s) "}! /1`r J N CI a!' t�Y ^i I f i i Gran lanbrh ... 44. .: t . ` .i , v 1 r I I . ' cumber --.r_...., .. a • t . _ .a.. ` k ,. •....,'., . .�...4 . . .. . . A ' 1 , Build/evil Ripr:,t.Ir�garh ' ' . •, 1 •, . r , I , . . •, . j ; 1 rig dlotanta nffahere.. [ e • : ' • J • { i ' f- ie max dlstarcr affehere l'1 I ' I iQ f kW/ AikI I r� / 1�'� r 11,41 cubic yards CAI e' ' j • j Boat ramp___._ - f ' ,. r ." i ; •" --'- ' . ooaehwe ool Boadlft , < i , ; 1 . : 1 1 Bench Buldeaing _ „ j ' . . t •' , I 1 •• > . 1 , i . j . . Shoreline length ).022. . i .4 4 ; 2 . 4-v r t,, "� *, /I I sAV• na sur' y x �. o .1 ..; ., ..... r,_._.. / ;_ ,+,0111s.r ,..., ,.r,...., 1 Sandbags; not sure yes �� I �A y " '' . Moratorium rift ye, i i , c ., �,r I 1 ! .,.I I I 1 . ph,....- . ,9 r 1 } Waiver Attached; yes !, 1 1 1 ! I !, .1 L .k, 1 1 ( a A bulkNng Permit may be required by 1(/9' t`�Y11Mr'Aria 7 See note on back regard ' • Basin rules, Note,/Special Conditions ,/r k./r(,r$/ W a (06,, 'VA.?) r d ro!f /, 74i�a� 5i�kj, J" P.J,-. / ......L. 1I._ _ J.. u /'_ J._.4 - _ b e At del- THE CLARK GROUP Geo Environmental Land/Hydrographic Forestry Services VIA HAND DELIVERY November 2,2007 NC Department of Environment And Natural Resources Division of Coastal Management Attn: Mr. Rob Mairs RECEIVED 127 Cardinal Drive Extension ACM WILMINGTON, NC Wilmington,NC 28405 Re: CAMA General Permit Application NOV 0 2 2007 Point Harbor Marina New Hanover County Clark Project No. 07101 Dear Mr.Mairs: Enclosed please fmd a package containing documentation supporting a CAMA General Permit Application. This package includes public notification documentation, including notification letters and proof that these letters were mailed, Adjacent Property Owner Notification/Waiver Forms, a Project Narrative, and exhibits depicting the proposed construction. Domestic Return Receipts will be forwarded to your office as soon as they are received. Also enclosed is a check in the amount of$200.00 for the application fee. This permit application supports our client's request to re-install a water line that was damaged by a dredge so that water can be restored to this operating business. It also encompasses the future installation of permanent water and sewer mains following government agency approvals and notice of capacities. Your cooperation in this matter has been greatly appreciated. Should you have any questions or require additional information regarding the proposed plans, please contact our office at your earliest convenience. Thank you,once again,for your timely assistance. Sincerely, '' Nancy n,,.Clark Senor Technician Enclosures THE CLARK GROUP Geo Environmental Service: Land/Hydrographic Surveys Forestry Services VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED November 2, 2007 New Hanover County Attn: Mr. Bruce Shell, County Manager 230 Government Center Drive, Suite 195 Wilmington,North Carolina 28403 Re: Notification of CAMA General Permit Application Point Harbor Marina New Hanover County Clark Project No. 07101 Dear Mr. Shell: The purpose of this letter is to notify your office of proposed development occurring on the referenced property. Because New Hanover County owns property adjacent to the site, the North Carolina Division of Coastal Management (CAMA) requires that you be notified of the development plans. As such, we are enclosing a copy of the project narrative and exhibits for your review. Please submit any comments to the CAMA office located at 127 Cardinal Drive Extension, Wilmington, NC 28405, within 30 days of receiving this notification on the attached Adjacent Riparian Property Owner Notification/Waiver Form. Should you have any questions or require additional information regarding the proposed plans, please contact me at your convenience. Sincerely, a-- Stephen L. lark,P.G. Project Supervisor Enclosures lx... AK.. (ll rl T T C xx,/n nciirae THE CLARK GROUP Geo-Environmental Services Land/Hydrographic Surveys Forestry Services VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED November 2,2007 Mr. William H. Smith 115 Linden Drive Danville,Virginia 24541 Re: Notification of CAMA General Permit Application Point Harbor Marina New Hanover County Clark Project No. 07101 Dear Mr. Smith: The purpose of this letter is to notify your office of proposed development occurring on the referenced property. Because New Hanover County owns property adjacent to the site, the North Carolina Division of Coastal Management (CAMA) requires that you be notified of the development plans. As such,we are enclosing a copy of the project narrative and exhibits for your review. Please submit any comments to the CAMA office located at 127 Cardinal Drive Extension, Wilmington, NC 28405, within 30 days of receiving this notification on the attached Adjacent Riparian Property Owner Notification/Waiver Form. Should you have any questions or require additional information regarding the proposed plans, please contact me at your convenience. Sincerely, si-ea Stephen L. Clark,P.G. Project Supervisor Enclosures Cc: Mr. Michael C. White, Mgr., Old Wilmington Shipyard, LLC, w/o enclosures 1►Ar 1? Panl Clark P (`. Preeirient The Clark frnnn win enclosures THE CLARK GROUP Geo-Environmental Service Land/Hydrographic Survey. Forestry Services VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED November 2,2007 Mr. Robert Bryden and Ms. Ann Bryden 515 North 5th Street Wilmington,North Carolina 28401 Re: Notification of CAMA General Permit Application Point Harbor Marina New Hanover County Clark Project No. 07101 Dear Mr. and Ms. Bryden: The purpose of this letter is to notify your office of proposed development occurring on the referenced property. Because New Hanover County owns property adjacent to the site, the North Carolina Division of Coastal Management (CAMA) requires that you be notified of the development plans. As such, we are enclosing a copy of the project narrative and exhibits for your review. Please submit any comments to the CAMA office located at 127 Cardinal Drive Extension, Wilmington, NC 28405, within 30 days of receiving this notification on the attached Adjacent Riparian Property Ownet Notification/Waiver Form. Should you have any questions or require additional information regarding the proposed plans, please contact me at your convenience. Sincerely, Stephen L. Clark,P.G. Project Supervisor Enclosures Cc: Mr. Michael C. White,Mgr., Old Wilmington Shipyard, LLC, w/o enclosures Mr. R. Paul Clark.P.G. President.The Clark Group w/o enclosures • THE CLARK GROUP Geo-Environmental Servic Land/Hydrographic Survej Forestry Services VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED November 2,2007 Eagle Island Limited, LLC Attn: Mr. Michael E. McCarley 3330 River Road Wilmington,North Carolina 28412 Re: Notification of CAMA General Permit Application Point Harbor Marina New Hanover County Clark Project No. 07101 Dear Mr. McCarley: The purpose of this letter is to notify your office of proposed development occurring on the reference property. Because New Hanover County owns property adjacent to the site, the North Carolin Division of Coastal Management (CAMA) requires that you be notified of the development plans. A such,we are enclosing a copy of the project narrative and exhibits for your review. Please submit an comments to the CAMA office located at 127 Cardinal Drive Extension, Wilmington, NC 2840` within 30 days of receiving this notification on the attached Adjacent Riparian Property Own( Notification/Waiver Form. Should you have any questions or require additional information regarding the proposed plans, pleas contact me at your convenience. Sincerely, CR. Stephen L. Clark,P.G. Project Supervisor Enclosures !•,.• ��r T��(;.l,�Al C Whitg, 1 jfnr Wilnminntnn Qhinvarrl T T C win rnrincnrec • THE CLARK GROUP Geo-Environmental Services Land/Hydrographic Surveys Forestry Services VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED November 2, 2007 North Carolina Department of Transportation Attn: Mr. Mason Herndon 124 Division Drive Wilmington,North Carolina 28401 Re: Notification of CAMA General Permit Application Point Harbor Marina New Hanover County Clark Project No. 07101 Dear Mr. Herndon: The purpose of this letter is to notify your office of proposed development occurring on the referenced property. Because New Hanover County owns property adjacent to the site, the North Carolina Division of Coastal Management (CAMA)requires that you be notified of the development plans. As such,we are enclosing a copy of the project narrative and exhibits for your review. Please submit any comments to the CAMA office located at 127 Cardinal Drive Extension, Wilmington, NC 28405, within 30 days of receiving this notification on the attached Adjacent Riparian Property Owner Notification/Waiver Form. Should you have any questions or require additional information regarding the proposed plans, please contact me at your convenience. Sincerely, Stephen L. Clark,P.G. Project Supervisor Enclosures re. Mr Michael C_ White_ Mar._ Old Wilmington Shipyard. LLC, w/o enclosures THE CLARK GROUP Geo-Environmental Servic Land/Hydrographic Surve} Forestry Services VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED November 2,2007 Mr. and Mrs. David Roderick 2056 N. Kerr Avenue Wilmington,NC 28405 Re: Notification of CAMA General Permit Application Point Harbor Marina New Hanover County Clark Project No. 07101 Dear Mr. and Mrs. Roderick: The purpose of this letter is to notify your office of proposed development occurring on the reference, property. Because New Hanover County owns property adjacent to the site, the North Carolin Division of Coastal Management (CAMA) requires that you be notified of the development plans. A such, we are enclosing a copy of the project narrative and exhibits for your review. Please submit an comments to the CAMA office located at 127 Cardinal Drive Extension, Wilmington, NC 2840f within 30 days of receiving this notification on the attached Adjacent Riparian Property Owne Notification/Waiver Form. Should you have any questions or require additional information regarding the proposed plans, pleas contact me at your convenience. ec.,S' ely, Stephen L. Clark,P.G. Project Supervisor Enclosures Cc: Mr. Michael C. White,Mgr., Old Wilmington Shipyard, LLC, w/o enclosures Mr P Paid Clark P(1 President The Clark boon win enclosures THE CLARK GROUP Geo-Environmental Servic Land/Hydrographic Surve. Forestry Services VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED November 2,2007 Riverfront Holdings, LLC 1 Cowan Street Wilmington,NC 28402 Re: Notification of CAMA General Permit Application Point Harbor Marina New Hanover County Clark Project No. 07101 To Whom It May Concern: The purpose of this letter is to notify your office of proposed development occurring on the reference property. Because New Hanover County owns property adjacent to the site, the North Carolir. Division of Coastal Management (CAMA) requires that you be notified of the development plans. A such,we are enclosing a copy of the project narrative and exhibits for your review. Please submit an comments to the CAMA office located at 127 Cardinal Drive Extension, Wilmington, NC 2840: within 30 days of receiving this notification on the attached Adjacent Riparian Property Own( Notification/Waiver Form. Should you have any questions or require additional information regarding the proposed plans, plea: contact me at your convenience. Sincerely, Stephen L. Clark,P.G. Project Supervisor Enclosures • Cc: Mr. Michael C. White,Mgr., Old Wilmington Shipyard, LLC, w/o enclosures 1 l , T___1 ell___I TL.. .S. Postal Service- i I. . 'osta ervice,r., ERTIFIED MAIL RECEIPT CERTIFIED MAIL.., RECEIPT Domestic Mail Only;No Insurance Coverage Provided) m (Domestic Mail Only;No Insurance Coverage Provide or delivery information visit our website at www.usps.com,.: ,-R For delivery information visit our website at www.usps.com 'O� fi_ -+ICl A L. US E .,:_ ) 1 fir I L s L ru Postage $ Postage $ Certified Fee 02.GJ r-9 Certified Fee Postmark p G� Postmark Retum Receipt Fee ,J Here O Return Receipt Fee q ' Here ndorsement Required) q7./Cl 0 (Endorsement Required) et?• / restricted Delivery Fee Restricted Delivery Fee dorsement Required) 0 (Endorsement Required) Total Postage&Fees 0 Total Postage&Fees $ ntTo GC///� � � /► AK /�• JM/ 0 sent To Wail ova.. reef,Apt No.; r J_ D Street,Apt.No; PO Box No. //J //t.JCi<.c� C7r/•' N or PO Box No. ow 6ovejogW C(,olert..� ry,State,ZIP+4 City,State,ZIP+4 A 4� l;/(e. V.-;ti;Q, enr-W �;/k;N -/0 ive- aic/03 Form 3800,August 2006 See Reverse for Instructions PS Form 3800.August 2006 See Reverse for Inst .S. 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LJ g (�CQ.. `�'rtn�y C (�,No.; __f- ' dC/U 'O Box No. 3330 y`/, •w•w � Street,Apt No.; � -/ t State,ZIP+4/ ' •.// 1 n/ a pq/2) N or PO Box No. 4/S /v6M1 ( — siCG� (N/!M�/U (4/N tNG Q City,State,ZIP+4 YYY _1ai ,1 p orm 3800.August 2006 See Reverse for Instructions I• i i. .N C. aA e/0/ PS Form 3800,August 2006 See Reverse for Inst .S. Postal Services., U.S. Postal Service., ERTIFIED MAIL„., RECEIPT CERTIFIED TM RECEIPT Domestic Mail Only;No Insurance Coverage Provided) m derive p jD (Domestic Mail Only;No Insurance Coverage Provide or.delivery information visit our website at www.usps.com, I1) .: I- ,_1 For delivery information visit our website at www.usps.com `_ r L USE Postage $ lT1-11 = - Certified Fee 6.r'', r- Postage $ Certified Fee Postmark a a.G.e ._ Return Receipt Fee Here O Postmark p dorsement Required) 2, Return Receipt Fee + Here (Endorsement Required) a. /J'' istricted Delivery Fee 0 dorsement Required) Restricted Delivery Fee p (Endorsement Required) U.S. Postal Service 11.1 CERTIFIED MAIL, RECEIPT in (Domestic Mail Only;No Insurance Coverage Provided) For delivery information visit our website at www.usps.com ru OFFICIAL USE - Er- . , 11.1 Postage $ rs- Certified Fee a6d- Postmark Return Receipt Fee H e (Endorsement Required) er Restricted Delivery Fee (=:1 (Endorsement Required) Total Postage&Fees $ Sent To Ver.1. -A/04;t5i ..S Ltc., 1:3 Street,Apt.No.; r- or PO Box No. j. au,,a,t) ,174e04 City,State,ZIP+4 , ( ,x)--A ) .2AP oaf PS Form 3800,August 2006 See Reverse for Instructions DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM ]U-01-cLIO f 1b,:Sc: From: t'.b/b CERTIFIED MAIL RETURy RECEIPT REQUESTED DIViSIO�+j OF COASTALjMANAG.EM.F 1 0 I W The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or individuals listed below. 1'hc,CAMA General Permit application procedures require that applicants provide the Division of Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owners indicating that they have no objection to the proposed work or that the adjacent riparian property owners have boon notified by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners bya marine contractor or other individuals acting as an authorized agent on behalf of the applicant. This form was sent to you by the following individual or company designated by the applicant as an a the lied ac t, �tep�ien L. ��ark, P ., Vice President, The Clark Group (see attached authorization) 1 --he o Z10-7 Authorized Agent's Signature Date Nome of Individual Applying For Permit: Old Wilmington Shipyard, LLC Address of Property; 1500 Point Harbor Drive (Lot or Street#, Street or Road) Wilmington, NC, New Hanover County (City and County) I hereby certify that 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 dimensions, should be provided with 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, 1.2 Cardinal Drive Extension,Wilmington,NC 28405 or call 910.796.7215 within 10 days of receipt of thb 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, boat house or bout lift must be set back I minimum distance of 15' from my urea of riparian access - unless waived by nit, (If you wish to waive th 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 requirement. Cl H O ' THE CLARK GROUP Geo-Environmental Services Land/Hydrographic Surveys I, Michael White , hereby authorize The Clark Group to act as my agent in all dealings with federal and state regulatory agencies on my property located along the Northeast Cape Fear River near its confluence with the Cape Fear River, at the southeastern corner of the intersection of US Highway 421 and NC Highway 133,City of Wilmington, County off/New Hanover, State of North Carolina r , / ,j 7,,. -2-47/ !�. l2O -2(, /T Signed: t�� di,�i Date: ,givJ Cm° /1 72 x/- G•7 9 i c / PROJECT NARRATIVE PROJECT NARRATIVE This project located at 1500 Point Harbor Road in Wilmington, North Carolina, will be divided into two phases: Phase I consists of the re-installation of a line which was recently damaged by a dredge. This phase will involve the immediate installation of a temporary 2-inch polypropylene water line which will be anchored to the river bottom using cast concrete weights. Phase II involves a permanent water and sewer installation project to facilitate permanent needs. This phase will consist of the directional boring and installation of parallel 8-inch HDPE water and sewer mains (within 5 years pending reeipt of approvals from government agencies providing capacities). EXHIBITS m)m n�ort,,,on,,,,,..,'tw�awo and�«i n,1 wmNr e pin jq won., nailed. condIfkm of dot.of surrey. MSo ap ny or Mop ..-- Stole peaofhzrKoa.flood Elevation&o me f f . NMI,Parr,-a.0,o.•+.y MGM ValIXF FIR ( ON®01,10111101 M WON NO EN.11.I M MK TIN IMaNIMYGYLY NU11m) q it . •"a3 Mr NAM a aaxa-fw-m,_fra ! OWOC,01.MC MO, ifl • p4 / i� 8 ° e\ 0 ? r . - F • h naawla • • WA NM.MIII,TT • • BM BOCK as n, no OINIS PI Mr FM UNDO �. NMI OEN IMAM i a O, OM Y! NOM / ri GENERAL ROMS. 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'osta ervicem CERTIFIED MAILT,,, RECEIPT ,--1 CERTIFIED MAIL.,,, RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) m (Domestic Mail Only;No Insurance Coverage Provid -D For delivery information visit our website at www.usps.come ,-R For delivery information visit our website at www.usps.com r.:-. OFFICIAL 1 -... a.- a a ',,' ii OM. k,..3 '*e..$ ,-•,..., %. ru Postage $ r,--- Postage $ .,._ ._. Certified Fee 2.Ifr. . ,.. Certified Fee 01.Gr'. 0 Postmark Retum Receipt Fee 07.Re".".'- Here 0 Retum Receipt Fee Here Endorsement Required) Postmark (Endorsement Required) Restricted Delivery Fee Restricted Delivery Fee Endorsement Required) 0 (Endorsement Required) rR Total Postage&Fees $ . Total Postage&Fees $ T 0 >ent To A h 7A ik. 1/. ftti;)14_ r._ Sent To wet„j ganweet.i:t reet,Apt.No.; 4 'Ae o D Street,Apt.No.; ..... aziA".15 rrPOBoxNo. i(r4JI ,.) r,d r orPOBoxNo. c239Sveem.itA) a.........o. lez_.1.l ity,State,ZIP+4 i * - S— ( City,State,ZIP+4 ./A /-) ti . 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