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Locality ,9 l.t( - Permit Number . Ocean Hazard /\ Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other (For official use only) RECEIVED GENERAL INFORMATION FF9 02 2022 LAND OWNER-MAILING ADDRESS DCM WILMINGTON, NC Name � ' ti d' J Aid y_ e I S ,eta --._ Address 'vZ 4--! - $ /6 ;to 7-4 e-/ City 16 is rSA State __. L/4 Zip?'Phone . 7/—v2$9 —glae 6 Email 14 N1'P ) 5' oev �.-.6 l4v / .CUM 54Aid Y Lip l� �/'/, AUTHORIZED AGENT 7 Name /f.j / _ / eW/7 .Sf//C`] Address .S$$ 1''o-v,?'S /" o i 4- e! • City r l/i f S t749 I State -Po f. Zip & '/?Phone , .„ 36? $.1 Email Pi 5 4 L G ff Ye/we.) • l 0/A7__--------- LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.) a 30`/ So u 1-h Sho i G /2/' C- S (le C,-i-7 /I 1 , a8L/I$ DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) jtA ► to wew d. cdk US i ti kX i54- i I i ENV v ry cl. e�� S I i u1, root pi ievT I N�'t A�-fAcked4v tiv ys P SIZE OF LOT/PARCEL: Jrj 100 square feet I /I l acres PROPOSED USE: Residential 12r (Single-family 0 Multi-family ❑ ) Commercial/Industrial ❑ Other 0 COMPLETE EITHER(I)OR(2) BELOW(Contact your Local Permit Officer ifyoa►are not sure which AEC applies to your property): (I) OCEAN IIAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE:S) square feet(includes air conditioned living space,parking elevated above ground level,non-conditioned space elevate( above ground level but excluding non-load-bearing attic space) (2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES:`square feet(includes the area of the foundation of all buildings,driveways,covered decks, concrete or masonry patios,etc. that arc within the applicable AEC.Attach your calculations with the project drawing.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR)? YES NO OTHER PERMITS MAY RE REQUIRED:The activity you are planning may require permits other than the CAMA minor development permit,including,but not limited to: Drinking Water Well,Septic'Bulk(or other sanitary waste treatment system), Building, Electrical, Plumbing, Pleating and Air Conditioning, insulation and Energy Conservation, HA Certification, Sand Dune,Sediment Control, Subdivision Approval,Mobile I tome Park Approval, i lighway Connection,and others. Check with your Local Permit Officer for more information. STATEMENT OF OWNERSHIP: 1, the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AF.0 or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person listed as landowner on this application has a significant interest in the real property described therein.This interest can be described as: (check one) Towner or record title,Title is vested in name of t f o el/ d' w i F{ SArrAI/,4 G;, M!/Se see Deed 13ook 31 5 0 page j ve in the P.N d Y r County Registry of Deeds. __ an owner by virtue of inheritance.Applicant is an heir to the estate of ; probate was in County. if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application. NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that 1 have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) (Address) (l) 5hArdrti d' PAof/ (rt ,9 iflv' n0'• c• Ae. . £4iF C• A7 w.( (2) St 0t t" .._0 Is)01 f/r`/' IA4,0rifA.V a2. jd 6 f .5 Fro fc �/ G�/f Gi < (3) _. (4) ACKNOWLEDGEMENTS: i,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. i acknowledge that the Local Permit Officer has explained to me the particu- lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza- tion and floodproofing techniques. I furthermore certify that i am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. This the / clay of�Yb�f!*�j ,20 ? — Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application This application includes:general information(this farm), a site drawing as described on the back of this application, the ownership statement, the Ocean llaza►riAEC Notice where necesscn;y, a check for$100.00 made payable to the locality, and any in Ornu►tion as may be provided orally by the applicant. The details of the application as described by these sowres are incorporated without reference in any permit which mat'be issued. Deviation firm these details►rill conOcuirltriqlattir 0f any permit. Any person developing in an AEC withTout permit is subject to civil, criminal and administrative action. FEB 02 2022 w. 1 r a OCEAN HAZARD AEC NOTICE Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area Property Owner: /4rA'r4*6 d" 519"I/.l M e/SON Property Address: a 3 O'/ Sot-tL► ,S AO/C ,01. Sant Cr 17 N I. 2 fi 'i " Date Lot Was Platted: 7/ a S/ /966 This notice is intended to make you, the applicant,aware of the SPECIAL NOTE: This hazard notice is required for special risks and conditions associated with development in this development in areas subject to sudden and massive storms and area,which is subject to natural hazards such as storms,erosion erosion. Permits issued for development in this area expire on and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the development can be issued. vegetation line and setback distance at your site. If the property has seen little change since the time of permit issuance, and the The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement, setbacks and dune alterations are designed to minimize, but not the LPO will inform you that you may begin work. Substantial eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be re-measured.Also, the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate re-measurement Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the by changes in shoreline configuration. The structure(s) must be work after the permit has expired. Generally, if foundation relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing, imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue subsidence. work after permit expiration. The best available information,as accepted by the Coastal For more Information,contact: Resources anrnission, indicates that the annual long-term average oc erosion rate for the area where your property is J,) (,.,‘ t i :r)•-t (._.._ located is feet per year. Local Permit Officer The rate was established by careful analysis of aerial photographs of the coastline taken over the past 50 years. N.C. Dept. of Environmental Quality ,$tu i also indicate that the shoreline could move as much as Division of Coastal Management h! feet landward in a major storm. 127 Cardinal Drive Extension Wilmington, NC 28405-3845 ood waters in a major storm are predicted to be about 91.... feet deep in this area. Preferred oceanfront protection measures are beach nourishment C) E. 1 el 1 .:j _./ and relocation of threatened structures. Hard erosion control / / ` structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number and breakwaters are prohibited. Temporary sand bags may be authorized under certain conditions. The applicant must acknowledge this information and RECEIVED requirements by signing this notice in the space below. Without the proper signature,the application will not be complete. FEB 0 2 2022 r ____ ��� 2� DCM WILMINGTON, NC Pro' Owner Signature Date Revised Mav 2010 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: .S4N441,q /Z r/$0,V Mailing Address: Van S/h i/2 Tsc-./< R d /4 ,•vs,4- /,e , U.9 02.2 `I &'cS' Phone Number: S 7/ — a s / " d 749?6 Email Address: SR evd y />h t lsoty Gl/0 WG i9O/•( 9r'7 I certify that I have authorized t / '1 K 54 Ca Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: f r 4t/i/t% 6 I rx' S7ituI aft/51" %' m,, ith yog-.91i7 t1Siy ex i) t;7 /9,7. 1/. at my property located at k 3 t7 el Ceti/A ch-/ r /21• S4C/ Gtd7 in PYrdrr County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Inairmation: 2 /7/'/ ...•al---( .--- .-—;/// Signaturet,_„ `iitrPre#1 --6'A4Z-.-{.5 0 A/ 40 144 ti"Call Print or Type Name Title RECEIVED , ' / / i 02002 - Date FEB 0 2 2022 DCM WILMINGTON, NC This certification is valid through /.2.-/ 3/ I �dZ� January 31, 2022 Scott and Katrina Noonan 5303 Sunny Field Court Elliot City, Maryland 21043 Dear Scott and Katrina Noonan, This letter is to inform you that we, Ken and Sandy Me!son, have applied for a CAMA Minor Permit on our property at 2304 South Shore Drive Surf City, N.C. 28445, in Pender County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my purposed project, please contact me at 571-259-0926, or by mail at the address listed below. If you wish to file written comments or objections with the Surf City CAMA Minor Permit Program, you may submit them to: Jason Dail, Field Representative NC Division of Coastal Management Town of Surf CityLocal Permit Program 127 Cardinal Drive Extension Wilmington, NC 28405 Sincerely, GQ Ken and Sandy Melson 824 Skipjack Road Kinsale, Virginia 22488 RECEIVED FEB 0 2 2022 DCM WILMINGTON, NC t v p .ott lVoorar\ . The UPS Store 47152 2761 Nc Highway 210 E Hampstead, NC 28443-8955 910-803-7002 Terminal P0S7152A Date.: 2/2/2022 Employee ' 115621 Time.: 09:41 AM ITEM NAME OTY PRICE TOTAL Priority Mail $21.42 1 8 $21.42 Tax $0.00 MMEU7FZCOXR6P Tracking Nunber Subtotal $21,42 Shipping/Other Charges $0.00 Total tax $0.00 Total $21.42 Cards $21.42 Items Designated NR are NOT eligible for Returns. Refunds or Exchanges. US Postal Rates Are Subject to Surcharge. 12202027152A005666 View The UPS Store, Inc.'s privacy notice at https://www.theupsstore.com/privacy-policY VISA *********■ *0147 090114 02/02/2022 09:41 AM TID 768153180001 Purchase VISA DEBIT XXXXXXXXXXXX0147 ENTRY METHOD CHIP CUM SIGN Inuoica 0010006457 Clerk 11562 Response APPRUUED Auth Code 090114 EMU DETAILS MODE CHIP AID A0000000031010 TUB 8080008000 IAD 06011203A0A000 ISI 6800 ARC Z3 Amount USD $21.42 SAL.CH /MARK G 04 CUSTOMER COPY 04 Faxing Notarizing Moving supplies Packing materials theupsstore.com Copyright O 2020 The UPS Store,Inc.All rights reserved. MS410 33830520 The UPS Store® Printing Mailboxing Packing Shipping Shredding Freighting Faxing Notarizing Moving supplies Packing materials theupsstore.com Copyright O 2020 The UPS Store,Inc.All rights reserved. MS410 33830520 The UPS Store Printing Mailboxing Packing Shipping Shredding Freighting Faxing Notarizing Moving supplies Packing materials theupsstore.com Copyright O 2020 The UPS Store,Inc.All rights reserved. MS410 33830520 The UPS Store Printing Mailboxing Packing Shipping Shredding Freighting U.S. Postal ervice r CERTIFIED MAIL° RECEIPT - Domestic Mail Only For delivery information,visit our website at www.usps.com"'. OFFICIAL C9rtified Mail Fee $ xtra Services&Fees(check box,add fee as appropriate) 3I]Return Receipt(hardcopy) $ 3 ❑Return Receipt(electronic) $ Postmark 3 0 Certified Mail Restricted Delivery $ Here 3 0 Adutt Signature Required $ ❑Adult Signature Restricted Delivery$ 3 Postage J _ — $ J Total Postage and Fees I $ Sent To Street and Apt.No.,or PO Box No. 'City,State,ZIP+4 ;eranea mail service proviaes me Tonowing oenenis: A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail A unique identifier for your mailpiece. associate for assistance.To receive a duplicate Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service" -Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Trportant Reminders: -Adult signature service,which requires the You may purchase Certified Mall service with signee to be at least 21 years of age(not First-Class Mail°,First-Class Package Service°, available at retail). or Priority Mail°service. -Adult signature restricted delivery serviceovhich Certified Mail service is not available for requires the signee to be at least 21 years of agi international mail. and provides delivery to the addressee specified Insurance coverage Is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. LISPS postmark.If you would like a postmark on For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mat item at a Post Office'"for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Mail Receipt : THIS IS NOT A SHIPPING LABEL. PLEASE SAVE FOR YOUR RECORDS. TRANSACTION DATE: MAIL INFORMATION: WED 2 FEB 2822 USPS PRIORITY MAIL 0 lb 2.9 oz total weight EXPECTED DELIVERY DATE: 0 lb 2.9 oz each piece NIA DIMS: 18,80X13,80X1,00 MARK SALCH 1 PIECE 555 GROVES POINT DR CERTIFIED MAIL HAMPSTEAD NC 28443 (336) 362-8304 MAIL FROM: TRACKING 8 REFERENCE SHIPMENT ID: MMEUMC8XR6P MAIL TO: ORDERIITEM *: SCOT, 8 KATRINA NOONAN REF*: - 5383 SUNNY FIELD CT CERT MAIL *: 70212720888856943774 ELLICOTT CITY MD 21043-8208 RESIDENTIAL DESCRIPTION: DOCUMENTS MAILED THROUGH: THE UPS STORE *7152 POSTAGE CHARGES HAMPSTEAD:NC 28443-8956 FIRST CLASS MAIL 21,42 (910) 803.7002 PIECES X 1 TOTAL $21.42 COMPLETE ONLINE TRACKING: ENTER THIS ADDRESS IN YOUR WED IROWSER TO TRACK: HTTP:/JTHEUPSSTORE.COM (SELECT TRACKING. ENTER SHIPMENT ID (1.) SHIPMENT QUESTIONS, CONTACT SHIPPED THROUGH ABOVE. 7021 2720 0000 5694 3774 SHIPMENTID: MMEU7FZCOXR6P 111111011101111101011111II II II111111310111 III Powers 22 86N 0 A The UPS Stare 02�02i202 06 40 AM Pacific Time N XE NUIICE UN REVERSE iegndmg UPS term,.S oIKe of h,o!Wllon ollrtbillty.Whereallowed by law.sEppe�authortaes UPS to atl as to�wardinga9em lei e.pa0 romrol and I mspu,Dosecllexported from the US,shiyppelc,oiP,sWttemmmodlties,tochnologyorsoM1ware wereerportedhomte US In accordance with the Eypart Administration Regulations pnnloe conuary oo Ww Is pmhlhil& KR0122 • TO REORDER YOUR UPS DIRECT THERMAL LABELS: 1. Access our supply ordering web site at UPS.COM® or Contact UPS at 800-877-8652. 2. Please refer to Label St 01774006 when ordering. Shipper agrees to the UPS Terms and Conditions of Carriage/Service found at www.ups.com and at UPS service centers. If carriage includes an ultimate destination or stop in a country other than the country of departure,the Convention on the Unification of Certain Rules Relating to International Transportation By Air as amended(Warsaw Convention)or the Montreal Convention may apply and in most cases limits UPS's liability for loss or damage to cargo. Shipments transported partly or solely by road into or from a country that is party to the Convention on the Contract for the International Carriage of Goods By Road(CMR)are subject to the provisions in the CMR notwithstanding any clause to the contrary in the UPS Terms. Except as otherwise governed by such international conventions or other mandatory law,the UPS terms limit UPS's liability for damage,loss or delay of this shipment.There are no stopping places which are agreed upon at the time of tender of the shipment and UPS reserves the right to route the shipment any way it deems appropriate. ups 01774006 KR January 31, 2022 Paul and Sharon Grauper 12723 Wembley Road Carmel, Indiana 46033 Dear Paul and Sharon Grauper, This letter is to inform you that we, Ken and Sandy Melson, have applied for a CAMA Minor Permit on our property at 2304 South Shore Drive Surf City, N.C. 28445, in Pender County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my purposed project, please contact me at 571-259-0926, or by mail at the address listed below. If you wish to file written comments or objections with the Surf City CAMA Minor Permit Program, you may submit them to: Jason Dail, Field Representative NC Division of Coastal Management Town of Surf CityLocal Permit Program 127 Cardinal Drive Extension Wilmington, NC 28405 Sincerely Ken and Sandy Melson 824 Skipjack Road Kinsale, Virginia 22488 RECEIVED • FEB 0 2 2022 DCM WILMINGTON, NC RECEIVED FEB 0 2 2022 -- ,A."" irL d < <'gh/ g-Gh v -too t=.t u'v° r� � 5 � J I—_ k-- '9, ---+ �I 3r 37 —=� 1-1 L xiS f in- Olt !Ach,i Orcl< i to sfrvi . /Let- F_1 • • • El. . - _ '' I. t i ,� NdN sl 1 Foof Pr n/{- 1 ab• Htid{r ild it 5 ( PA Wi:'tiq 111 I 1. 3Hc • Locality Permit Number . Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other (For official use only) ,;,ECii:i " GENERAL INFORMATION _ w LAND OWNER- MAILING ADDRESS Name , / /l/ V— 56 Nlt l .... pi e `Ca I!'1/ Address v^i4/ S/�i %/J_TFJG�< A %l ._.. //L ' / 4 zi w Phone S 7/p2 S " City -/',Sf• ,'" _ — State i I --— -- —_ `w Email 1� � f. 1 ' ®G't/ Di- ,_, / ' cUM S4evei Y At c/1 o/ti//to 14/GS(/,yk (' AUTHORI/ED AGENT / . Name /i/9- l/'" / erp/7 Se 1e;6 Address ,j SS G rt.?e/ rS /"d!'4'11- el •_- -- r City// A/►a f�.5 t r A ii State Nv 1. Zile'`lam/?Phone f..J& 36�.__SI F Email_ f)1 i /4 5/4 L.G fl& Ye/faU • f d LOCATION OF PROJECT: (Address,street name and/or directions to site; name of the adjacent waterbody.) a 3041 S0U .7Lh Sha/ c p0f;i/ - DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) [bpi j id NeW Gi eCik ts;^+l iiill NC Division of Coastal Management 16 5 5 f A/ L� Cashier's Official Receipt Date: � � 20 'i--- Received From: /4 Sa(1 -- $ (00 Check No.: 6 ? O Permit No.: rfAk saA/, ?r_ ii/Loico-2/--- County: Applicant's Name: © � j 5-C/C71 (�[ Project Address: � Please retain receipt for your records as proof of payment for permit issued. Signature of Agent or plicant: Date: t 7 7 C.i C - - The UPS Store 47152 • . 2761 Nc Highway 210 E Hampstead, NC 28443-8955 910-803-7002 Terminal POS7152A Date.: 2/2/2022 Employee • 115621 Time.: 09:39 AM ITEM NAME OTY PRICE TOTAL Priority Mail $22.00 1 0 $22.00 Tax $0.00 MMEU7FZOQ2P09 Tracking Number Subtotal $22.00 Shipping/Other Charges $0.00 Total tax $0.00 Total $22.00 Cards $22.00 Items Designated NR are NOT eligible fur Returns, Refunds or Exchanges. US Postal Rates Are Subject to Surcharge. 12202027152A005665 View The UPS Store, Inc.'s privacy notice at https://www.theupsstore.com/privacy-policy VISA ************0147 082262 02/02/2022 09:39 AM TID 768153180001 Purchase VISA DEBIT XXXXXXXXXXXX0147 ENTRY METHOD CHIP CUM SION Invoice 0010006456 Clerk 11562 Response APPROVED Auth Code 082262 EMU DETAILS MODE • CHIP AID A0000000031010 TUR 8080008000 IAD 06011203A0A000 TSI 6800 ARC Z3 Amount USD $22.00 SALCH /MARK O *** CUSTOMER COPY 04 Mailboxing Packing Shipping Shredding ' , Freighting Faxing Notarizing Moving supplies Packing materials theupsstore.com Copyright©2020 The UPS Store,Inc.All rights reserved. MS410 33830520 The UPS Store® W Printing Mailboxing Packing Shipping Shredding Freighting Faxing Notarizing Moving supplies Packing materials theupsstore.com Copyright©2020 The UPS Store,Inc.All rights reserved. MS410 33830520 The UPS Store® Printing Mailboxing Packing Shipping Shredding Freighting Faxing Notarizing Moving supplies Packing materials theupsstore.com Copyright©2020 The UPS Store,Inc.All rights reserved. MS410 33830520 The UPS Store' uPs rinting 1. . •os a ervice CERTIFIED MAIL° RECEIPT - Domestic Mail Only ▪ For delivery information,visit our website at www.usps.com''. Certified Mail Fee $ Extra SPtrvices&Fees(check box,add fee as appropriate) 3 ❑Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ Postmark ❑Certified Mail Restricted Delivery $ \ Here 3 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ 3 Postage 4. $ j Total Postage and Fees Sent To street and Apt.No.,or PO box No. City,State,ZIP+46 .enuiieu Mdll service pJruvtues llte rVIIVWIII9 uenCnw. A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail A unique identifier for your mailpiece. associate for assistance.To receive a duplicate Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service'" -Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. nportant Reminders: -Adult signature service,which requires the You may purchase Certified Mall service with signee to be at least 21 years of age(not First-Class Mails,First-Class Package Service®, available at retail). or Priority Mail®service. -Adult signature restricted deliveryservice,which Certified Mail service is not available for requires the signee to be at least 21 years of agi International mail. and provides delivery to the addressee specified Insurance coverage is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is Insurance coverage automatically Included with accepted as legal proof of mag,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on For an additional fee,and with a proper this Certified Mall receipt,please present your endorsement on the mailpiece,you may request Certified Mall item at a Post Office"for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(Including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Fonn 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Mail Receipt : THIS IS NOT A SHIPPING LABEL. PLEASE SAVE FOR YOUR RECORDS. TRANSACTION DATE: - MA IL.INFORMATION: WED 2 FEB 2022 - UPS PRIORITY MAIL 0 lb 2.9 oz total weight EXPECTED DELIVERY DATE: 0 lb 2.9 oz each piece NIA DIMS: 10a00X13100X1100 MARK SALCH 1 PIECE 555 GROVES POINT DR CERTIFIED MAIL HAMPSTEAD NC 28443 (336) 362-8384 MAIL FROM: TRACKING 8 REFERENCE SHIPMENT ID: MMEU7F2002P09 MAIL TO: ORDER/ITEM N: - - PAUL 8 SHARON GRAUPER REFN: - 12723 WEMBLY RD CERT MAIL 0: 70212720000056943798 CARMEL IN 46033-2472 RESIDENTIAL DESCRIPTION: DOCUMENTS MAILED THROUGH: THE UPS STORE 07152 POSTAGE CHARGES HAMPSTEAD;NC 28443-8956 FIRST CLASS MAIL 22.00 (910) 803-7002 PIECES X 1 TOTAL $22.00 COMPLETE ONLINE TRACKING; ENTER THIS ADDRESS IN MOOR WES BROWSER TO TRACK: HTTP:JJTHEUPSSTORE.COM (SELECT TRACKING. ENTER SHIPMENT ID H) SHIPMENT QUESTIONS? CONTACT SHIPPED THROUGH AWE. 7021 2720 0000 5694 3798 SHIPMENTID: MMEU7F20O2149 ;III II II I I ;III II II III III III I II Pom�red by 6hip(r) The I PS Store 02i0220220635AM PacificTIEIN f� U 4 • SEE NOTICE ON REVERSE�egalding UPS Terms,and nonce of limitztl0n of liability.WEeie allowed by law,shipperaothorlaes UPS to act as brwarding agent Err eapoo control and UpS spo,poses.Ueapomdhom the US,shipppercertRlesthatthecammoditks,technolagyorsoNwarewereeaponedtram the USlnazmrdaixewRhtha Eaport Rdminirtratbn Regolatlons.Ulw:rsbn contrary to law is prohibloM g101y TO REORDER YOUR OS DIRECT THERMAL LABELS: 1. Access our supply ordering web site at UPS.COM® or Contact UPS at 800-877-8652. 2. Please refer to label #01774006 when ordering. Shipper agrees to the UPS Terms and Conditions of Carriage/Service found at www.ups.com and at UPS service centers. If carriage includes an ultimate destination or stop in a country other than the country of departure,the Convention on the Unification of Certain Rules Relating to International Transportation By Air as amended(Warsaw Convention)or the Montreal Convention may apply and in most cases limits UPS's liability for loss or damage to cargo. Shipments transported partly or solely by road into or from a country that is party to the Convention on the Contract for the International Carriage of Goods By Road(CMR)are subject to the provisions in the CMR notwithstanding any clause to the contrary in the UPS Terms. Except as otherwise governed by such international conventions or other mandatory law,the UPS terms limit UPS's liability for damage,loss or delay of this shipment.There are no stopping places which are agreed upon at the time of tender of the shipment and UPS reserves the right to route the shipment any way it deems appropriate. ups 01774006 KR \/