84914_Joan Massen Ridgetop Tust_20220218

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41 CAMA DREDGE & FILL -4�3 'l N° 84914 A ia' C D
1 GENERAL PERMIT 7 Previous permit �Iu
J. Date previous permit issued N/iA
El New I I Modification n Complete Reissue I I Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 12(% Rules attached. 1J General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
..-•--
Applicant Name r.. 7-4 r%` i''.:'r�rc-1-- 15 c)c7 e T7,7 p I Yq-t~j 7 Authorized Agent
Address 3 r--,MY'r-e`\ 7. I- Project Location(County):
City ','A,� W4 Vl State NN C ZIP CI-7 LI 2,0 Street Address/State Road/Lot#(s)
Phone#(.:cl ) C4 cS- 'If SSZ:
Email (----t r:'.: , --
r-S i'- C 'S(-Yt - rlr- Subdivision
City ZIP
Affected rim n EW n PTA n ES 0 PTs Adj.Wtr.Body c(nat/marr/unk)
AEC(s): IllOEA —IHA UW I I SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/rie-, PNA:yes/no
Type of Project/Activity Pi 5-4:,/I I ' X iSS'-l' -� ,r-1 ram, _• '-_-' x l4-' , :
(Scale: Cr
Shoreline Length ' ` S50
Access Length _ i V. ` 3 L�T‘vS Ecj y
Pier(dock)length : j \St { I r"-^� x;�
Fixed Platform(s) ; ' I i - - f- �-- 4 b p I
I, 3'` 0 . r---- I Ir r
Floating Platform(s) 12; ).7' --4.,'
�a
4' a. , • �� el { j
f ti
Finger pier(s) + i
Total Platform area 2 54s) 4' Z j I (�,a t� ,T
Groin length/# -._ . _ + .,� 17 Br
Bulkhead/Riprap length }.........-..____ - _-.._. { ! — _"".___+_..__.__ __J---.___._.- , .
Avg distance offshore , I ? I
Breakwater/Sill 1 ! T
Max distance/length
i , I
Basin,channel - +----._.__._- ;_____..,_-_ ____.. .__. •E�_.._.. . I
Cubic yards
Boat ramp � I
Boathouse/BiLTIrrt / X I ; I 4
Beach Bulldozing ! I
- t --
Other ( r- '! +
SAV observed: yes I. " / ` t.� v, �
Moratorium: n/a yes i ,.., ' 1 f " 1 ; f - -r/r2o �P
T)u
Site Photos: yes .;ry aQ�4--�- _ ._� r{�!< <-�, d• ,i( f
Riparian Waiver Attached: ( ry R ' i I fah 4ob fir► 1�'v, , i
A building permit/zoning permit may be required by:
• TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions > /11,1;.i.,1, i--,--;) .L4 4 • i •a-1
,. •• H y f See note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) _
�� t�_ I / - /1 /ry ,
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
ly.:; r :��:. k
Signature 'Pleas(ead •compliance statement on back of permit** Signature ? 6
iiK To !� 2Z.D' . cis - =-).-, - -7c:2_ - ) s_ s,..,, - 7c ..
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construct-ion of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

boa(*`°"Sr^1 1 ICAMA I DREDGE & FILL No 84914 ABCD
3 GENERAL PERMIT
Previous permit
Date previous permit issued
New I 1 Modification I Complete Reissue Il Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC Rules attached. I I General Permit Rules available at the following link:www.dee.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s) _
Phone#( )
Email Subdivision
City ZIP
Affected CW U EW PTA ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA IHA UW I I SPIMA I 1 PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length Access Length L
r 1 t_:: I.
Pier(dock)length r j i ■■I r
, . f atJ
Fixed Platform(s) t- , ■■VIRUS ®.■EI■ ■■..A
Floating Platform(s)
Finger pier(s) \ — -
Total Platform area r
Groin
# 11111 11.1iiii „„iii
Bulkhead/tR�prap length , P
* Em• ■■■■■ ■••Basin,channel ! Li
■■ . ■■■■III riii
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
—
Other
SAV observed: yes no J I '� U
Moratorium: n/a yes no f il 1 L_ �11.�t . i`MI
----T P
Site Photos: yes no '
Riparian Waiver Attached: yes no t I #.%. r ri .4. j--.-?I -
A building permit/zoning permit may be required by:
Permit Conditions •
I I TAFJPAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check a/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
IIITar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

IC
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management
ENVIRONMENTAL QUALITY BRAXTON DAVIS
Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 02B.0233 & .0259. The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
J. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
a Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts.
m Pre-project site conditions: l6/ %S in-1/4-7' rL16---,CeY /a-f./77.
By your signature below you agree to be held responsible for meeting all of the conditions listed above an eri
that all information provided is complete and accurate.
-
fe,c. icy 4f2 S - -
Agent or Applicant Printed Name ermit 0 ice 'gnat
IF- Feb- zv-4z
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT#: / 9/V
State of North Carolina I Environmental Quality''Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 27889I 252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 I 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 i 252-808-2808

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT'RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or BAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner._Ridgetop House Trust(Joan Madden primary)
• Address of Property: 3007 Mouth of the Creek Rd,Blounts Creek,,NC
Mailing Address of Owner. 63 Trammel Drive, Mahwah, NJ 07430•
Owner's email:[e-mail] Owner's Phone# [phone]
Agents Name: N/A - Agent Phone#:
Agents Email:
.ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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,mustbe provided with this letter. `
• WT
�R I DO NOT have objections to this proposal. I DO have objections to thisproposal.
If you have objections to what is being proposed, you must notify the N.C..Division of Coastal
Management(DCM)in writing within 10 days of receipt of this notice Correspondence should be,
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252)946-6481.No response is considered the same as no objection.if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings,boat ramp, breakwater,boathouse,,litt, or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
,(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must skin
the appropriate blank below.)
PDO wish to waive some/all of the 15'setback
Signature o Adjace t arfan Properly Owner
,OR_
I do not wish to waive the 15' setback requirement (initi the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: (4/0 7 Z,d jet yf

Mailing Address ofARPO: y752 &lb& e{M,S Jo- Jn (i• tvegntl1 l ie1 /I/r t<1
451-
ARPO's email: 1 (vi" ARP am
of s Phone#:
Date: tglas abai *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION&WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners(15A
NCAC 7J.0204(b)(5)). Proof of actual notice (a sign-off by the owner on this form)or certified mail return
receipts(showing delivery of notice)are needed.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments(or potentially object to)the proposed development
and to give DCM an opportunity to consider these comments/objections before a permit decision is made.
Permission'.of adjacent property owners is not necessarily required for DCM to issue a permit however,
permission must be obtained for certain types of proposed developments if they fall within a 15' setback
area along the riparian access area of the adjacent property, as determined solety by DCM. It is in the
applicant's best interest to provide comprehensive and accurate notice so that any concerns or objections
can be resolved early in the permit review process. In addition, if the adjacent riparian property owner
appeals the permit decision,insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent?(Note: DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development;AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and can
support some form of navigation, even a kayak or canoe, including a common canal system or a
manmade basin.
• Easement holders?Yes, if the easement could be impacted by the proposed development
• Streets/Roads?Only if the street/road could be impacted by the proposed development This might
include street-ends which might be used for parking and beach access.
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide?If there is a
question about whether an adjacent property is considered °riparian,° please reach out to DCM Staff-
• especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
Who/What is a Property Owner?
For private individuals (or families), send notice to the address listed on the tax card. If•the property is
owned by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC
Secretary of State's Corporations Look Up site: _ `, . h For
Condominiums or neighborhoods with an owners'association(HOA/POA), send notice to the association
(which is usually a corporation,for which you send notice to its registered agent).
What is Notice,and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the proposed
development and ask them to sign this form and return it to DCM; OR
• You can hand-deliver this form and a description or drawing, and ask your neighbor to return it to
DCM(consider providing them with a stamped envelope);OR
• You can mail this form by LISPS Certified Mail, return receipt requested (the Green Card). If you
choose this option,you must provide either the signed&returned green card OR track the certified
I

N.C. DIVISION OF COASTAL-MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner._Ridgetop House Trust(Joan Madden primary)
Address of Property: 3007 Mouth of the Creek Rd, Blounts Creek, NC
Mailing Address'of Owner. 63 Trommel Drive,Mahwah, NJ 07430
Owner's email:Jjmadden3@ver¢on.net Owner's Phone#: [phone]
Agents Name: N/A Agent Phone#: _
—.Agent's Email - -
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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 desdri tiori or drawing,with dimensions, must be provided with this letter.
' I DO NOT have objections to this proposal. • ' I DO have objections to this proposal.
/ . l'l11feGtt' ^7i'7 ff Ep• W liPetet'* . air-
If
you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM)in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252)946-6481.No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier,dock, mooring pilings,boat ramp, breakwater,boathouse, lift,or
-groin must beset back a:minimum distance of-15'-from my area of riparian access unlesswaived by-me_-
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign
the appropriate blank below.) /VMc; n
I DO wish to waive some/all of the 15'setback Wit �yt M Pit! n
142
Signature ofAdja cent Riparian Property Owner LS$tl v°
-OR- .
I do- not wish to waive the 15' setback requirement (initial the- blank)
•
Signature of Adjacent Riparian Property Owner.
TypediPririted name ofARPO: //GINH-0 Ci /14405JT

Mailing Address of ARPO 30/7 NOW Of /e CRC ,e;/2U4� 1 8' t•S0r/&1T3 e X, :z189
ARPO's email: riond//CieSt9 patA ARPO's Phone#: 1-r2- 9y6-y3 '54"
Date: /2./Za /2i waiver is valid for up to one year from ARPO's Signature`"
Revised July 2021
TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION&WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners(15A
•NCAC 7J.0204(b)(5)). Proof of actual notice (a sign-off by the owner on this form) or certified mail return
receipts(showing delivery of notice)are needed.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments(or potentially object to)the proposed development,
.and to give DCM an opportunity to consider these comments/objections before a permit decision is.made:- - -
"Permission° of adjacent property owners is not necessarily required for DCM to issue a permit; however,
permission must be obtained for certain types of proposed developments if they fall within a 15' setback
area along the riparian access area of the adjacent property, as determined solely by DCM. It is in the
applicants best interest to provide comprehensive and accurate notice so that any concerns or objections
can be resolved early in the permit review process. In addition, if the adjacent riparian property owner
appeals the permit decision, insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent?(Note: DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development;AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and can
support some form of navigation, even a kayak or canoe, including a common canal system or a
manmade basin.
• Easement holders?Yes, if the easement could be impacted by the proposed development.
• Streets/Roads?Only if the street/road could be impacted by the proposed development This might
include street-ends which might be used for parking and beach access.,
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a
question about whether an adjacent property is considered "riparian, please reach out to DCM Staff-
-- especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the-water.
WholWhat is a Property Owner?
For private individuals (or families), send notice to the address listed on the tax card. If the property is
owned by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC
Secretary of State's Corporations Look Up site: , . _r:,, ->- , :r r p. For
Condominiums or neighborhoods with an owners'association (HOA/POA), send notice to the association
(which is usually a corporation,for which you send notice to its registered agent).
What is Notice,and how do I ensure it is received?
• You can meet with your adjacent property owner, provide a description or drawing of the proposed
development, and ask them to sign this form and retum it to DCM;OR
• You can hand-deliver this form and a description or drawing, and ask your neighbor to return it to
DCM(consider providing them with a stamped envelope);OR
• You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you
choose this option,you must provide either the signed&returned green card OR track the certified

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit 1 ifafl. Aiiihti
i
Mailing Address: (03 'froM(ngt -6,r
ma AiS bit-kb
•
Phone Number: 1 oZI 1 2)? q5 gd
' Email Address: cs(MM,MQ,n @, 'Jeiz1,\, ne
I certify that I have authorized 'R\� Svrbuse
gent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permit
necessary for the following proposed development: -poop_ ( h{ e,Q-f
at my property located at g bn I.tW In f '-f ke Cry TA gi of A-IS Creek
in i -Iiki+ 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 Information:
i d
Signature
C4-1
SIin Ft\; Wzbion
Print or Type Name
i ✓ Title -
I h l /71
Date
This certification is valid through I I