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HomeMy WebLinkAbout28351D - Thompson I eGENERAL CAMA and DREDGE AND FILL IA .r• "k 28351-1 PERMIT Ocia_ s' 1 q A as authorized by the State of North Carolina > .,.: Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC .;7N. / AOD • Applicant Name 5 e fk( n , A, pS J v' Phone Number Address i ) ri I re,.. p'x Ro`kC n City 0 a4 p ' " State NC— Zip -0)N V 4"/ 6 Project Location (County, State Road, Water Body, etc.) /� ° ' /0 At del lePi- 'D v'o d• C1-71 6'4 14"l ktkr {a 'L F: L •.4 )j"Li. 1 10 /V) ccf Cret ki /-, pS1i' c1 Ptn (t' C0v ,,- -4/ Type of Project Activity C0 $ r,•,L4 GPPr' A ' k if s pre— t1wt -} /h /p ',1(E ' 4_— hr, J �— 1-1` )( 1t i �' Xi .,1 I.i.K ,4tvsl'Cr vvctrdtt -ex ct Q S GII per 4 C ( c p 4', PROJECT DESCRIPTION SKETCH ,,,e( 4 Tim L d t CI (SCALE: ) Pier(dock)Length 1 ,� ,_, / ,� 1 S 'F f E , Edit 111 Groin Length r i Ia number ._ 11 li Bulkhead Length max.distance offshoreIII I I ,. •P �•�• 11111 a1 �, • t r 11111 stiegggi id ` oar Basin,channel dimensions111 II Is. _., cubic yards ,loam ft, F "110. q ` ,,Fir.,_ 6., . , au Boat ramp dimensions i Other L~A rv• 0NM 11111111111 MI µ, I ' 1E F--)0q4,m Dic pill i.S �cis 1111 , A-,/, x4/6/ ii - am an *°-. an , ima - - aino4 • ' i _ ` This permit is subject to compliance with this application, site drawing ,A �, /1 .,,, ',d.-a,..,, and attached general and specific conditions.Any violation of these terms C-)-1'‘j --N ` applicant's signature may subject the permittee to a fine, imprisonment or civil action; and Gmay cause the permit to become null and void. This permit must be on the project site and accessible to the permit of- permit officer's signature ficer when the project is inspected for compliance. The applicant certi- " a5 - 0 ) / /- .15— J fies by signing this permit that 1)this project is consistent with the local issuing date expiration date land use plan and all local ordinances, and 2) a written statement has (� I I a t} been obtained from adjacent riparian landowners certifying that they ' / ' 1 have no objections to the proposed work. '\ attachments In issuing this permit the State of North Carolina certifies that this project ,�I V�. O is consistent with the North Carolina Coastal Management Program. application fee t•aL IC\1 NAM7-: J 0/en ( 4.).-i.:19S-o vi ADDITIONAL NAMES: AEC DESIG: PT C U1iil � C DEVELOP AREA:___ (Will only a 6) 1 —a--I PROJ DISC: WORK: Pik ) 10 S E 1 b b (w-o oni}� j to t �1r L > MAINT: (wall only ui:-I) t,I )` IAA: 0 W y.Ao NtiLc., (mill only tai:c`�y NilI ACTION E PIRATION DREDGE&FILL REQUIRED: 1 (fir C_4MA MAJOR DEVEL REQUIRE): oUTT i'TO e,✓HTfW,4Y- PAST DOCK PIT CR,4,VE PO N TE- SAME ,,DEPTH I cHANNFL Is �o '� I. • •.AST.• • CERTIFY THAT THIS PUT W SURVEYED AND DRAWN UNDER MY SUPERVIS• . 16 �a 18 • w l o E 40:7 o. •• . I , ON THE FAZE OF THIS 1;ERROR OF CLOSURE AS CALCULATED COMPUTER 14 D o c K is I:1O.000+; THE:•• �•AwEs Nor SURVEYED ARE snow BY Fop LJ'aE.S• • or -•.r I � (5"PPT/fF L o i.✓ �K o: p WITH ST • , OF 7I DE, eorro4 "'� i' fiaFORh1ATlON, �. •. •T MI5 FIAT W PREP,4RED0a I!GCO sR �'tr,� � � PRACTICE FOR LAND •IWTNE S Inc*OR1G1K°L • •, . DON /' IS SOFT coy 4�s,�''b Hr NUMBER NJD SEAL THIS ,D` • AD.. 4 S I L T, Na ;sue RO•+o 0" ' �t •r l� �' c 15 I `/�. 0Y.s'TE S / -- SITE A Sig.. r.. u j K. fib N.C. • / 0 K' 1 pG �d� u . ' ,�, 0 3•RA�� LOCATION MAP � ear" NOT TO SCALE CiP r ]' �!j t"�' ul 10 E a e `�� f ,�,`(mac `�p10 a H edGTri G ooD a SURVEY REFEREE j \ 1 per, , „ N57'37'54"W MAP BOOK PAGE 0o... I , Y \ f i .� ti • / kob Al\ q D.0 vb C`ork awN RS, �, ,, (4 �. — poINT / " fie . \46Pci >.L c. / I _ L07" l0 / mjD,DLE PatWr l c k -t-6-0' 4 ,,,es VILLA GE-664es IPebr• •1 , ���/ lir \ OWNER ; ��///// �, �• SrFPN�N off'• P a _ TNoM Pso N / �. l'.) ' 910/1110* o 4110 �_ ° ^�`'�• •fir° C/§' "C / ( ADO/ / �z o S6, �'�`1 I 16 1 o Lw/V>r R S PH /V S52'42'51"E / / I ch.50.00' Thom Pso N • \ o. ,,,, - ce ..A... oWNFRS'•• 9 I 25' �/ I \ ud� 059'26'53"W) INN ' • .• NOTE: i. \ oz Ob a o Q� 7 ALL LOTS ARE SUBJECT TO A w r')co LEGEND 10 UTILITY EASEMENT ALONG w tO o— o IRON PIPE STREET RIGHT OF WAYS. E—> tO CENTERLINE CD p-CD RA)/ RIGHT OF WAY PLOT PLAN FOR 0 CONC.MON. CLARK AND SONS LOT 10 SECTION 1 MIDDLEPOINT TOPSAIL TOWNSHIP PENDER COUNTY. N.G. • (IN: Subdivision, Property Street, Sea Coast Realty Property Street Number ORDER) Full Property Record Print 9/06/01 13:19:47 REA TOPSAIL TOWNSHIP and SubDivision MIDDLE Page 2 OWNER: Quinn Douglas L Irma R (P) OWNER: Sloop Point LLC (I) Middle Point OF Topsail Township Middle Point OF Topsail Township PROPERTY: Bates Retreat Vorl: V PROPERTY: Bates Retreat Vorl: V OWNER MAILING: 206 Pelicai •1k OWNER MAILING: 200 Arlington Blvd E Unit R ADDRESS: Hampstead NC 8443-2687 ADDRESS: Greenville NC 27858-5014 PROPERTY: UNIMPROVED; DES( L ' M ddle Point Subdiv; Off Sr PROPERTY: UNIMPROVED; DESC Lt 10 Middle Point Subdi; Off Sr 1563 & Sloop Po nt Rd• 'lat 1563 & Sloop Point Rd; Plat LAST SOLD: 12 / 1998 BUILT: Acres: .82 LAST SOLD: 12 / 1997 BUILT: Acres: 1.27 SALE AMOUNT: 48,000 SQUARE: STORIES: SALE AMOUNT: SQUARE: STORIES: TOTAL ASSESSED: 13,500 ROOMS: PlatBooK: 32/ 21 TOTAL ASSESSED: 111,343 ROOMS: PlatBooK: 32/ 21 LAND ASSESSED: 13,500 BATHS: / DeedBook:1418/ 35 LAND ASSESSED: 111,343 BATHS: / DeedBook:1294/ 282 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 PID: R100 028 005 09 Remodelled: $/SgFt: PID: R100 028 005 10 Remodelled: $/SgFt: PIN: 4213-17-6764.00 Zoned: RA Adjust: PIN: 4213-17-6574.00 Zoned: RA Adjust: OWNER: Thompson Stephen G () OWNER: McCullough Steven W Wanda P (P) Middle Point OF Topsail Township Middle Point OF Topsail Township PROPERTY: Bates Retreat Vorl: V PROPERTY: Bates Retreat Vorl: V OWNER MAILING: 215 Bates Retreat OWNER MAILING: 131 Forest W ADDRESS: Hampstead NC 28443-2473 ADDRESS: Spartanburg SC 29301-2440 PROPERTY: UNIMPROVED; DESC Lot 11 Middle Point Sub Off SR PROPERTY: UNIMPROVED; DESC Lt 12 Middle Point Subdi; Off Sr 1563 & Sloop Point Rd; Plat LAST SOLD: 12 2000 BUILT: Acres: .67 LAST SOLD: 7 / 1999 BUILT: Acres: .84 3 SALE AMOUNT: 5,000 SQUARE: STORIES: SALE AMOUNT: SQUARE: STORIES: TOTAL ASSESSED: 29,782 ROOMS: PlatBooK: 32/ 21 TOTAL ASSESSED: 32,634 ROOMS: PlatBooK: 32/ 21 LAND ASSESSED: 29,782 BATHS: / DeedBook:1648/ 221 LAND ASSESSED: 32,634 BATHS: / DeedBook:1498/ 195 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 PID: R100 028 005 11 Remodelled: $/ gFt: PID: R100 028 005 12 Remodelled: $/SgFt: PIN: Zoned: RA Adjust: PIN: 4213-17-9791.00 Zoned: RA Adjust: OWNER: Sloop Point LLC (I) OWNER: Williams Frank J Anissa E (P) Middle Point OF Topsail Township Middle Point OF Topsail Township PROPERTY: Bates Retreat Vorl: V PROPERTY: Bates Retreat Vorl: V OWNER MAILING: 200 Arlington Blvd E Unit R OWNER MAILING: 5482 Wood Duck Circle ADDRESS: Greenville NC 27858-5014 ADDRESS: Wilmingotn NC 28409-3938 PROPERTY: UNIMPROVED; DESC Lt 13 Middle Point Subdi; Off Sr PROPERTY: UNIMPROVED; DESC Lt 14 Middle Point Subdi; Off Sr 1563 & Sloop Point Rd; Plat 1563 & Sloop Point Rd; Plat LAST SOLD: 12 / 1997 BUILT: Acres: .82 LAST SOLD: 8 / 1999 BUILT: Acres: .68 SALE AMOUNT: SQUARE: STORIES: SALE AMOUNT: SQUARE: STORIES: TOTAL ASSESSED: 32,144 ROOMS: PlatBooK: 32/ 21 TOTAL ASSESSED: 29,750 ROOMS: PlatBooK: 32/ 21 LAND ASSESSED: 32,144 BATHS: / DeedBook:1294/ 282 LAND ASSESSED: 29,750 BATHS: / DeedBook:1504/ 164 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 PID: R100 028 005 13 Remodelled: $/SgFt: PID: R100 028 005 14 Remodelled: $/SgFt: PIN: 4213-27-0832.00 Zoned: RA Adjust: PIN: 4213-27-0966.00 Zoned: RA Adjust: ' Stephen Thompson 117 i Braam Rd. 1 ,.., • S.81.-Sotraport M.C. 28461 Tone 910-845-2758 September 07,2001 Hello, I am the owner of lot 10 middle point village and your riparian neighbor.I have filed for a CAMA permit with the North Carolina Department of Environmental and natural Resources.I would like to build a 104'long,4'wide walkway from the high ground of my lot to middle creek (see drawing).At the end of the walkway I would like to build a 6'x 10' T-head,and a 3'ramp down to a 4'x 16'floating dock.Please notify the NCDENR if you object to my proposed dock. Thank you for your time and consideration. 1 /' Stephen Thompson (fN: Subdivision, Property Street, Sea Coast Realty Property Street Number ORDER) Full Property Record Print 9/06/01 13:19:47 AREA TOPSAIL TOWNSHIP and SubDivision MIDDLE Page 11 OWNER: Sloop Point LLC (I) OWNER: Sloop Point LLC (I) Middle Point OF Topsail Township Middle Point OF Topsail Township PROPERTY: Windard Landing Place W Vorl: V PROPERTY: Windard Landing Place W Vorl: V OWNER MAILING: 200 Arlingt vd E Unit R OWNER MAILING: 200 Arlington Blvd B Unit R ADDRESS: Greenville NC 27858-5014 ADDRESS: Greenville NC 27858-5014 PROPERTY: UNIMPROVED; DESC 41 Mi le Point Subdi; Off Sr PROPERTY: UNIMPROVED; DESC Lt 42 Middle Point Subdi; Off Sr 1563 & Sloop Poi Rd; P t 1563 & Sloop Point Rd; Plat LAST SOLD: 12 / 1997 BUILT: Acres: 1.35 LAST SOLD: 12 / 1997 BUILT: Acres: 1.12 SALE AMOUNT: SQUARE: STORIES: SALE AMOUNT: SQUARE: STORIES: TOTAL ASSESSED: 112,299 ROOMS: PlatBooK: 32/ 21 TOTAL ASSESSED: 110,656 ROOMS: PlatBooK: 32/ 21 LAND ASSESSED: 112,299 BATHS: / DeedBook:1294/ 282 LAND ASSESSED: 110,656 BATHS: / DeedBook:1294/ 282 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 PID: R100 028 005 41 Remodelled: $/SgFt: PID: R100 028 005 42 Remodelled: $/SgFt: PIN: 4213-17-9466.00 Zoned: RA Adjust: . PIN: 4213-17-9370.00 Zoned: RA Adjust: OWNER: Furr Andrew M () OWNER: Sidbury Alfred S Julie B (P) Middle Point OF Topsail Township Middle Point OF Topsail Township PROPERTY: Windard Landing Place W Vorl: V PROPERTY: Windard Landing Place W Vorl: V OWNER MAILING: 6136 Dorsett Place. OWNER MAILING: 130 Broadview Lane ADDRESS: Wilmington NC 28403-0127 ADDRESS: Hampstead NC 28443-2248 PROPERTY: UNIMPROVED; DESC Off SR 1563 & Sloop Point Rd P PROPERTY: UNIMPROVED; DESC Lt 44 Middle Point Subdi; Off Sr 1563 & Sloop Point Rd; Plat LAST SOLD: 11 / 2000 BUILT: Acres: 1.49 LAST SOLD: 8 / 1998 BUILT: Acres: 1.05 SALE AMOUNT: 100,000 SQUARE: STORIES: SALE AMOUNT: 125,000 SQUARE: STORIES: TOTAL ASSESSED: 21 LAND ASSESSED: 113,973 BATHS: / DeedBook:1639973 ROOMS: PlatBooK; / 73 21 TLAND ASSESSED: 109OTAL ASSESSED: ,811 BATHS: / DeedBook:1377811 ROOMS: PlatBooK: / 223 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 PID: R100 028 005 43 Remodelled: $/SgFt: PID: R100 028 005 44 Remodelled: $/SgFt: PIN: Zoned: RA Adjust: PIN: 4213-27-2162.00 Zoned: RA Adjust: OWNER: Sloop Point LLC (I) OWNER: Sloop Point LLC (I) Middle Point OF Topsail Township Middle Point OF Topsail Township PROPERTY: Windard Landing Place W Vorl: V PROPERTY: Windard Landing Place W Vorl: V OWNER MAILING: 200 Arlington Blvd B Unit R OWNER MAILING: 200 Arlington Blvd E Unit R ADDRESS: Greenville NC 27858-5014 ADDRESS: Greenville NC 27858-5014 PROPERTY: UNIMPROVED; DESC Lt 45 Middle Point Subdi; Off Sr PROPERTY: UNIMPROVED; DESC Lt 46 Middle Point Subdi; Off Sr 1563 & Sloop Point Rd; Plat 1563 & Sloop Point Rd; Plat LAST SOLD: 12 / 1997 BUILT: Acres: .93 LAST SOLD: 12 / 1997 BUILT: Acres: .97 SALE AMOUNT: SQUARE: STORIES: SALE AMOUNT: SQUARE: STORIES: T 21 LAND ASSESSED: 117TAL ASSESSED: ,180 180 BATHS: / DeedBook:12OOMS: PlatBooK: 94/ 282 TLAND ASSESSED: 11TAL ASSESSED: ,947 B947 ATHS: / DeedBook:1294MS: PlatBooK: / 282 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 BUILD ASSESSED: BEDROOMS: Utility: 0 0 0 PID: R100 028 005 45 Remodelled: $/SgFt: PID: R100 028 005 46 Remodelled: $/SgFt: PIN: 4213-27-4105.00 Zoned: RA Adjust: PIN: 4213 27 5130.00 Zoned: RA Adjust: • FROM : FAX NO. : May. 23 2001 06:07PM P1 ••••—••••—•• zoning Pender County Planning Department 805 S. WALKER ST. Burgaw, North Carolina 28425 • Type Of Per PIN 112163-.---019 DOS 10 Permit# A PLAN OR PLAT DRAWN TO SCALE MUST SE ATTACHED BEFORE THE APPLICATION CAN BE REVIEWED Purpose of Permit (SEPTIC FOR NEW RESIDENCE • • Applicant Name ITIWSON,STEPHEN • - PhySiCai Address .. 11171 3R0.Am DR • Phone 1910-845-2785 City Stale • C 1 zip je 4 2 . Owner Name ISLOOP POINT LLC • Address • 207ETIEINCTON BLVD SUITE R Phone r — •-7 City raliENVILLE State • 1 Zip 5,85-7-3 Occupant Name . • --- Direction to r BATES RETREAT property • • _I Recorcii 137574 _ _I Zoning District: [RA .... Deed/mapp . Lot Area ownT shl ii-ORAIrN—S-E-1 is the Lot,as shown on the attached plot plan,recorded in the Pender County Registry? tyES • Subdivision INTIDDLE POINT Section F---11 LOt9 ;IT Plat Boo 1 Page [..77 --- Setback Fron 140 I Rear 130 i Left 120 1 Right [20.171...._.-7 • Li Parkin 1_11 Buffe Type of Construed 11.:i6Lige • 7 •Dimensions Height Type of Proposed: 40X80 HOUSE Dimensions Type of Existing: IN/A Proposed Use of Structure: RES • Special I condition ••• ...... " • Foundation Survey Reaui .;r4o Date Received . L.__...... . . • U.S.Postal Service CERTIFIED MAIL RECEIPT (Domestic Mail Only: No Insurance Coverage Provided) 7 F . A. L ✓ Postage $ 3 NZAL64 f / , II.. Certified Fee 'i CJ_\ ry,�` �' n Retum Receipt Fee ,� Asosfrn Z ir ark n (Endorsement Required) / y 7 Restricted Delivery Fee y � 3 (Endorsement Required) V J J Total Postage&Fees $ . .7 `9N/ln1M -a• SenaTo -'"rp, a aa�jla5 Qvi nil Street,rP Apt N. ) 3 c P L? or PO Box No. t /t C a A w /k City,State,ZIP+4 ! 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Fo valuables,please consider Insured or Registered Mail. •For an additional fee,a Return Receipt may be requested to provi proof o delivery.To obtain Return Receipt service,please complete,pt1d attach a Returt Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee Waiver fo a duplicate return receipt,a USPS postmark on your Certified Mail receipt it required, •For an additional fee, delivery may be restricted to the addressee o addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". 1 If a postmark on the Certified Mail receipt is desired,please present the art'. cle at the post office for postmarking. If a postmark on the Certified Mai receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. �S Fnrm AAnn Jamm.v ,.. ......... U.S.Postal Service CERTIFIED MAIL RECEIPT (Domestic Mail Only: No Insurance Coverage Provided) 71 •I0FFCAL T' ✓ Postage $ • 3 Y -a Certified Fee �"//C tats•'#' 8� Yl Return Receipt Fee 7 G Z (Endorsement Required) Vj 7 Z 4 0 Restricted Delivery Fee 0 CO j (Endorsement Required) $ o 'l J O Total Postage&Fees 3 - /9 ��ire 11 M Sent To S/ a 0 ,1 P l h l L Z. C Street,Apt.No.; 7 or PO Box No. a o O Arl i, fa,', J/v Clty,S.tate,ZIP+4 �7 p Unit / G�`e�nYil�e C• _ VS4 Certified Mail Provides: •A mailing receipt ■A unique identifier for your mailpiece •A signature upon delivery •A record of delivery kept by the Postal Service for two years Important Reminders: •Certified Mail may ONLY be combined with First-Class Mail or Priority Mail, •Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified ail. Fo valuables,please consider Insured or Registered Mail. •For an additional fee,a Return Receipt may be requested to,pro roof delivery.To obtain Return Receipt service,please complete arld attach a Retun Receipt(PS Form 3811)to the article and add applicable postage to cover thi fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo a duplicate return receipt,a USPS postmark on your Certified Mail receipt required. •For an additional fee, delivery may be restricted to the addressee o addressee's authorized agent.Advise the clerk or mark the mailpiece with thi endorsement"R'estricted Delivery'. •If a postmark on the Certified Mail receipt is desired,please present the arti cle at the post office for postmarking. If a postmark on the Certified Mai receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. 'S Form 3800.January 7001 lRpupreo% 1nacnc o. ...00n ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deft item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we car return the card to you. C. Si nature • Attach this card to the back of the mailpiece, X t� �G)1,4,.1 or on the front if space permits. `+'F1dd - 1. Article Addressed to: D. Is delivery add different from item 1? ❑Yam 1 If YES,enter delivery address below: No r m C{ i-O c'v9 I C(S Q V I it I1 2 0 C Pe l;ch Wa/k a ni/� s Cego I 3. Service Type / , 2 S.7 I Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number(Copy from service label) � PS Form 381i,July I aaa .Domestic Return Receipt 102595.00-M-0952 UNITED STATES POSTAL SERVIcJ f L(` Iass Mai -,. � -. age 8 Fees .'• .Pe►mit-Ve G 1 S to qr r• Sender: Please prin 'tie,"address, and Z1P+4--in this S 1:ef/e fl —7--Aamp S 0 4 /17/ 8 i^f ann Po'_ : •i +.146=t=• 1„1,11„i„i„1,1i,,,,,111,1,,,11,,,1„l,ll„1,,,1,,,11/11„1 -ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items.1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. SekenQ, . ... 1, i... 4-0 • Print your name and address on the reverse so that we can.return the card to you. g • Attach this card to the back of the mailpiece, EOM / ❑Addressee or on the front if space permits. r<< D. Is delivery address di :•nt from item 1? 0 Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No Si" Pc"./4 / LC 200' /tr/I/ fon 664. E on,.f k 3. Service Type Greenville , C • Certified Mail ❑ Express Mail CIr 0/, Registered 0 Return Receipt for Merchandise 2 7 p p S- J F- /'' 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number(Copy from service label) 'S Form 3811,July 1999 Domestic Kewni ritx;a'ut 102595.004M-0952 • UNITED STATES POSTAL SERVICE First-Class Mail 111111 Postage& Fees Paid LISPS Permit No. G-10 • Sender: Please print"-y6 f name, address, and ZIP+4 in this box • 5'71-fpAen 0iT1Pso 1/ 7 / eqi,--N Rd. .coL, Oporl-- it/ C_ z SyC/ s tlb _. _ � • bore,�N90 u lava o 02ti 0 loll E Ot 439E 5E E50:1 a a � ,oj __,- --__- / I EOrBZ �'N'uo ry'IM j�IVt A Auedw09 Pnil9l. 8 sues.!a- A Z} 6SC SNazu lD LSUU it . iii . ...c SJe �o /�lq Jo�apip l _;�. g ayl of fled a}ed i9fi8 ZD�'LyOdafl i�l SE JQ— Z � d S 85LZS6g-Ol6 L-ld MI YHVH iesfoe-ss NOS W1OHI 9 NaHd3IS OZbI 15ggc ad9 i