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HomeMy WebLinkAboutWDN McDonaldConnell, Brad From: Bob McDonald <minnesott37@gmail.com> Sent: Wednesday, March 30, 2016 12:50 PM To: Connell, Brad Subject: Re: permit application Brad, This confirms my request / direction to withdraw the CAMA Major Permit Application and proceed with a General Permit. Thank you. J. Robert McDonald On Tue, Mar 29, 2016 at 2:09 PM, Connell, Brad <brad.connell@ncdenr.Qov> wrote: Mr. McDonald, This is to confirm our previous discussion that you wish to withdraw your CAMA Major Permit at this time and proceed with a General Permit. Is that correct? Brad Connell Field Representative NC Division of Coastal Management http://Portal.ncdenr.org/web/cm/dcm-home (252)808-2808 ext. 214 Brad.Connell@ncdenr.eov -,>'Nothing Compares,. E-mail correspondence to and from this address may be subject to the North Carolina Public Records Caw and may be disclosed to third parties. 1 Connell, Brad From: Connell, Brad Sent: Monday, August 10, 2015 4:46 PM To: 'minnesott37@gmail.com' Cc: Brownlow, Roy Subject: Revisions Request --McDonald dredging application Importance: High Mr. McDonald, Your CAMA Major Permit application package is thorough and well prepared. However, there are a couple of minor changes that you need to submit in order for the DCM to accept the application as complete and ready for circulation. Please submit the following requested revisions: 1. Form DCM MP-1, 3: please enter State Rd # 1123 in the appropriate blank; 2. Form DCM MP-1, 4a: please correct this dimension with the total shoreline on the referenced tract ("'474'); 3. Form DCM MP-1, 5f: please include the area of land disturbance for the spoil disposal area; 4. Form DCM MP-1, 6a: please submit a complete project narrative describing the purpose and need for the proposal; 5. Form DCM MP-1, 6d: please provide a copy of the deed for 757 Country Club Dr; 6. Form DCM MP-2, 1c(i): please check the "none" box; 7. Form DCM MP-2, 2a: please include the property address for the permanent disposal site; 8. Form DCM MP-2, 2b: please answer with the length and width of the disposal area; 9. Form DCM MP-2, 2e(i): please check the "none" box. Please note that the temporary, staging, or "double handling" of dredge spoils may be in conflict with the NCDWR Neuse River Basin Riparian Buffer Rules. I have contacted one of their representatives for clarification on this matter and am awaiting a reply. Thank you for your cooperation and understanding in this matter. If you have any questions in the interim, please do not hesitate to contact me. Brad Connell Field Representative NC Division of Coastal Management httD://Dorta I. ncden r.ore/web/cm/dcm-home (252)808-2808 ext. 214 Brad.Connell@ncdenr.eov E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. J. Robert McDonald Memorandum DATE: August 3, 2015 TO: BRAD CONNELL - FIELD REPRESENTATIVE - NCDENR FROM: J. Robert McDonald RE: Application for Major Development Permit — Dredging Maintenance of Lewis Branch CC: Brad, Attached please find my application for a major permit to dredge Lewis Branch to maintain a 3.5 foot depth. Please review and advise if more information is required to process the application. Thank you for your direct attention to this matter. I can be contacted as follows: Phone/text 252 617 9228 Email minnesott37&y-mail.com Address: P.O. Box 338 Arapahoe NC. 28510 76 Beach Dr. Minnesott Beach NC 28510 * q-A7 P,� fi yao. RECEIVED AUG 03 201 V OCM MP-1 APPLICATION for Major Development Permit (last revised 12/27/06) North Carolina DIVISION OF COASTAL MANAGEMENT 1. Primary Applicant/ Landowner Information Business Name Project Name (if applicable) Applicant 1: First Name MI Last Name Applicant 2: First Name MI Last Name If additional applicants, please attach an additional page(s) with names listed. Mailing Address PO Box CityJ State - 33 ft2v ZIP Country Phone No. FAX No. �' ► v U -4 2s2 G 1-1 za8 ext. I'A- Street Address (Jdifferent hom above) �t1 NNESv't? State ZIP Email Mt 1unr fo-rr3 Mkit I- Ce7en 2. Agent(ContractorInformation Business Name Agent/ CoM ctor 1: First Name MI Last Name Agentl Contractor 2: First Name MI Last Name Mailing Address PO Box City State ZIP Phone No. 1 - - ext. Phone No. 2 - - ext. FAX No. Contractor # Street Address (If different from above) City State Zip Email RECEIVED <Form continues on back> Form DCM MP-1 (Page 2 of 4) APPLICATION for Major Development Permit 3. Project Location County (can be multiple) Street Address State Rd. # cou L Subdivision Name Cdy in4r FILStr7 State Zip tic Fs�l o Phone No. Lot No.(s) (d many, attach additional page with list) ext. a. In which NC river basin is the project located? b. Name of body of water nearest to proposed project GBw.s1Z►2n L� N Eu56 b'l tvi�12 c. Is the water bodyjdentified in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site. ❑Natural WManmade ❑Unknown uGE 2 tf&2 e. Is proposed work within city limits or planning jurisdiction? f. If applicable, list the planning jurisdiction or city limit the proposed 034es [:]No work falls within. %)1/.rrNEso71 `8aAe_ 14 Ai G 4. Site Description a. Total length of shorelineonthe tract (ft.) b. Size of entire tract (sq.ft.) Y''TJy' c. Size of individual lot(s) d. Approximate elevation of tract above NHW (normal high water) or (If many lot sizes, please attach additional page with a list) NWL (normal water level) --// ❑NHW or M WL e. Vegetation on tract Rv4sS I. Man-made features and uses now on tract EuLV(he7i217" ToA'(�(✓j9S!^J) G�/N g. Identify and describe the existing land uses adiacem to the proposed project site. *aSi-6, - .43r 6rnrcLItfia, l`30,o%_0Ce-0-5'r pa,2-(ci.rF h. How does local government zone the tract? i. Is the proposed project consistent with the applicable zoning? R� ! na � ^C,&LL ning compliance certificate, if applicable) ins No 20 j. Is the proposed activity part of an urban waterfront redevelopment pro oyes k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. oyes Qt o� If yes, by whom? I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes WK6' ❑NA National Register listed or eligible property? <Form continues on next page> RECEIVED AUG 0 3 2015 U Form DCM MP-1 (Page 3 of 4) APPLICATION for Major Development Permit M. (I) Are there wetlands on the site? 2���es []No (ii) Are there coastal wetlands on the site? 53fes []No (iii) If yes to either (i) or (ii) above, has a delineation been conducted? Lyres [:]No (Attach documentation, if available) n. Describe existing wastewater treatment facilities. N`A- o. Describe existing drinking water supply source. f!m u e t> 'G a 5 p. Desribce existing storm water management or treatments terns. O 5. Activities and impacts a. Will the project be for commercial, public, or private use? ❑Commercial ❑PublirJGovemmerd GGPfIGeta/Community b. Give a brief description of purpose, use, and daily operations of the project when complete. �tc1Jb�%' (gGA't— �'�L�C Ir}CGGSS ZD %lJ�tlS� �1 V� i6�O i�c-Kr"�G of o.waL� wit-*dZ<= dr—f LA) -Xs 'r I'l -Z45" LPa+6/-7*� c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type of equipment and where it is to be stored. N� 09'J1if'^'pE�1S'?�re4ee!9E 2SQIJW&Iel--, T cc2r_ Eqt�/ e.Jf e�s> ie,(�E� ✓eaA vq�ia� {F'Ro.J1L�D L -*Dkfa�, d. List all development activities you propose. r MAIA-"7;r/ aJ EsiC.e6�iv✓ O� }�Ge,e3s ct4ri �6L PLfGcISB/1 -ry 'B'047Z0G6-- Fit L' TES e. Are the proposed activitiesmaintenanceof an existing project, new work, or both? CV ( f. What is the approximate total disturbed land area resulting from the proposed project? ❑Sq.Ft or ❑Acres MXhr E g. Will the proposed project encroach on any public easement, public accessway or other area Oyes o ❑NA that the public has established use of? h. Describe location and type of existing and proposed discharges to waters of the state. &10 N C i. Will wastewater or stormwater be discharged into a wetland? Oyes EKo ❑NA If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No JRWA j. Is there any mitigation proposed? ❑Yea ❑No (1aMA If yes, attach a mitigation proposal. RECEIVED <Form continues on back> AUG U 3 2015 WA44Mk,1 W" M Form DCM MP-1 (Page 4 of 4) APPLICATION for Major Development Permit B. Addif/onallnformat/on In addition to this completed application form, (MP.1) the following items below, it applicable, must be submitted in order for the application package to be complete. Items (a) - (n are always applicable to any major development application. Please consult the application instruction booklet on how to property prepare the required items below. a.Aproject narrative. �y�f '5r- MrstarltrPtnJ 3.S•rDf 7y uFLBlrvll yLA-A.rL b. An accurate, deted work plat (including plan view and cross -sectional drawings) tlrewn to scale. Please give the present status of the proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish between work completed and proposed. c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site. d. he A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties. e. Tappropriate application fee. Check or money order made payable to DENR. rdr-A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in which to submit comments on the proposed project to the Division of Coastal Management. Name Igy9 1Ql a SLR Phone No. 2S2 Address 737 fir,, r-y�Cl-�BDfZ pt-r.,rr Y3fw.l1 s^^Siy 3 Name To op (�,Wigy _ PhonsNo.c/14 279 Y977 Address? f t t S yPAZI J-rs LA 146 nr2- IZ01-01 r: A' ki c-� 2r)l L tS- Name Wlat' wL 'V ro 0 p *- ,hone No. "'j3fwc� ,57�r2�r�t_..�J�_ ql Address /04 g - C VLas ,.s 4, g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, pernittee, and issuing dates. 1.2ttoAV- -loif, 9,0174 2sob it iSot7yc ��Y?3Y7C. ?rp 3927L-J-c- Ie4 /74 -tbA ?aoo� of 4Ro9 G 199� Z01P721C h. Signed consultant or agent authorization form, 'd applicable. p I. Wetland delineation, if necessary. Al'/14- j. A signed AEC hazard notice for projects in oceanfront and Inlet areas. (Must be signed by property owner) , r k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act. f. cerarcatton and Permission to Enter on Land I understand that any permit issued in response to this application will allow only the development described in the application. The project will be subject to the conditions and restrictions contained in the permit. 1 certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up monitoring of the project. I further certify that the information provided in this application is truthful to the best of my knoo�wlled Date � lJG• 2 2 0 1 Print Name,_/�iv $ Zu3eA. t t i t c- ,,rlp-1, 17 Signature Please,indicate application attachments pertaining CM MP-2 xoavatio nd Fill Information ❑DCM MP-3 Upland Development ❑DCM MP-4 Structures Information L proposed project. ❑DCM MP-5 Bridges and Culverts RECEIVED AUG 03 2M WWC" 7g7 Form DCM MP-2 EXCAVATION and FILL (Except for bridges and culverts) Attach this form to Joint Application for CAMA Major Permit, Form DCM MP•1. Be sure to complete all other sections of the Joint Application that relate to this proposed project. Please include all supplemental information. Describe below the purpose of proposed excavation and/or fill activities. All values should be given In feet Access Other Channel (NLW or Canal Boat Basin Boat Ramp Rock Groin Rock Breakwater (excluding shoreline NWL stabilization Length Atf �! J ' �/ /1� LA 2S ' S r ►� Avg. ExistingAla Depth r ^�2, N n. r NA NA ;Ov4- Final Project ' r N 0- 3. s NA NA 1. EXCAVATION a. Amount of material to be excavated from below NHW or NWL in b. cubic yards. G cJ • NN ✓pt.G/r/ C. (i) I)Ses the area to be excavated include clastal wetlands/marsh d. (CM, submerged aquatic vegetation (SAV), shell bottom (SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected. ❑CW ❑SAV ❑SB OWL ❑None (ii) Describe the purpose of the excavation in these areas: 2. DISPOSAL OF EXCAVATED MATERIAL a. Location of disposal area. b. ❑This section not applicable to be excavated. S to %JD High -ground excavation in cubic yards. NON B area. ❑This section not applicable c. (i) Do you c�lai/m Ytt le to disposal area? d. (i) Will disposal area be available for future maintenance? ❑Yes OKO DNA itd'res ❑No DNA (ii) If no, attach a letter granting permission from the owner e. (I) Does the disposal area include any coastal wetlandsimarsh (CM. submerged aquatic vegetation (SAV), shell bottom (SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected. ❑CW ❑SAV ❑SB OWL ❑None 00 Describe the purpose of disposal in these areas: (ii) If yes, where? i rNrtdc S l`Wr¢•k a—ji�lly.✓ l� Fld]" LCOCO AIC. f. (1) Does the disposal include any area in the water? ❑YeS Wo DNA (ii) If yes, how much water area is affected? RECEIVED AU6 0 8 20b ue.re-WN GAN Form DCM MP-2 (Excavation and Fill. Page 2 of 2) 3. SHORELINE STABILIZATION &his section rat applicable (If development is a wood groin, use 4fP-4 — Structures) a. Type of shoreline stabilization: b. Length: uowxneao uKiprap UBreakwater/Sill ❑Other. c. Average distance waterward of NHW or NWL: e. Type of stabilization material: g. Number of square feet of fill to be placed below water level. Bulkhead backfill — Riprap Breakwater/Sill_ Other - i. Source of fill material. Width: _ d. Maximum distance waterward of NHW or NWL: f. (i) Has there been shoreline erosion during preceding 12 months? ❑Yes []No ❑NA Oil If yes, state amount of erosion and source of erosion amount information. h. Type of fill material. 4. OTHER FILL ACTIVITIES Iliis section not applicable (Excluding Shoreline Stabilization) a. (I) Will fill material be brought to the ate? ❑Yes ($No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW), If yes, submerged aquatic vegetation (SAV), shell bottom (SB), or (ti) Amount of material to be placed in the water other wetlands (WL)? If any boxes are checked, provide the (iv❑CW ❑SAV ❑SB) Dimensions of fill area number of square feet affected. - (iv) Purpose of fill — OWL ❑None (ii) Describe the purpose of the fill in these areas: 5. GENERAL a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline, controlled? backhoe, or hydraulic dredge)? E a.e W I e.% f 1 TJ'Z C. (i) Will naviggatignal aids be required as a result of the project? d. ❑Yes judo ❑NA (ii) If yes, explain what type and how they will be implemented. 'B C'k 1-}oe EX f✓Yr_ Lo,rlx3n t2ur {c (1) Will wetlands be c_ ggpsed in transporting equipment to project site? []Yes QNo ❑NA (ii) If yes, explain steps that will be taken to avoid or minimize environmental impacts. f$UGvt( Date Appli nt Name cant Signature Project Name AUG 0 3 2015 Ex;w uriv 6/tv rf.. Pamlico County, NC R."v-n- PROPERTY MAP ThdataPa Cabo,,rd,idadl NC and madam DreDarm rem rye dwMwy oReaa nmPotlr buM wMbPaniYm Lowrty, NL aM are mmgkJ hem recoNaE pldrsUletlS. eaE othar DutYc rtmNx weaeamsooniWcawrora lme lXb uarU, prhpeM eDMlsel, xurwY. Drbr zaniip reriAution. n 2 JF 0(A One Inch = 50 Feet A" ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 737 cc I hereby certify that l own property adjacent to M G�sr✓W'L n s (Name of Property Owner) &rkRe[ty_Ioc�t�d.2t.7 �_ uVn C ✓-Di2:_/7L'iSf-aru jAddress, Lot, Block, -Road, etc:) _ _._.,......_..._.:_.__...__.. on� gw� �����,) , in rvicNr.rr-- so`rT ;aac4F N.C. (Waterbody) (City/Town and/or County) The appli has described to me, as shown below, the development proposed at the above locatio . I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) .SF E /� TT� o �! E� J7 a7 Br,n .� G - -vi ler o5 Ev �2c'DGr�G of L2wls R+BNGN-'%U 3,J BEET �eLoW Nol.4n� LtswTDfc �D 1'VIdtN r'+�rwG THE 3•.r�LEV�L WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must Initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Inform tion)(Adjacent Property Owner Information) zz ignature Signature n b1P /wlrctIA &dQL .cn /`rcl. 7_ Print or Type Name Print or Type Name aECUVEo _ib_ `80JC ;i3Q AUG Q pP'S Mailing Address Mailing Address —IStateY�14 jl[C=-2—Y—�rio f>t�u�oao, ,✓� a ocae-0ah��uM C t /: i � � ` � 7 City/State2ip lZs--) Telephone Number Telephone Number LTLn/E 12 / A,, Date n M r (Revised 6/16/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that. I own property adjacent to M r- W W1- n 's Name of Property Owner) gmerty.located.at on LgwLS 12�04Aic,1-4-' in Yn(wou16 aoTT 136QC& ' , N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location ✓ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) >4C-v61wG OF I gwps R9NGFh%D 3, S rEeT T�e Lcn✓ NO V2-0"41- Grs wT DO 1'na„-1 rAiws T/dE 3. S LEVEL WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Inform tion) (Adjacent Property wo r In ormation) ignature Si ture ✓.ate Man L Print or Type Name Print or Typ Name ?b '$ox 8/1 r � is zal S Dr * 906 Mailing Address M�nglAddre s C 4 n ►g 2Y5 io CftXtate ip 2 6--) 41 17 27-8 City/State fF,rn Wd £ ?� 37al�-4-05r 110-pul-'IId3 119-818-y$79 Telephone Number Telephone Number 4-7 0 )y e / `� '� ) O% �13_ f /S RECEIVED Date Date sUCr o'? 1015 (RevisedLA4WJ) f!.-, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that. I own property adjacent to of Property I �rwwvaa, LVI, W1VGI,, RVCV, GW.) on gVV1S in mcNura so`t? mac N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) SSE /h TTtA c H &z- D(Le,,n a G - 05lry >'=tv6rauG OF Lew1S rRy eIV6(i-To -3 FEET 1e Lou/ No �+ - LtswT Dfc �},sD rnalNTaiw� TEE 3..f�LEvE� WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) ignature Print or Type Name �)b_ 'Bo�K --Z33F Mailing Address /State i2p 2� 1 972•z9 xd#. hgr.� TT 3��gr rnat �nr Telephone Number —�TLniE 12 �n i I#= (Adjacent Property Owner Information) —' GJ2a3% SigZ,IV-ee` Sfit,'e Print or Type Name Mailing Address _ nJ /oti E JaiL. { � �/ cvo.w�irX Cityeate2ip Telephone N ber l aecevi N` 51 3fS+ �d'Y�% ----AUG 03 2D15,>9.5 Date (Revised 8/18/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Ca..-.rreal, CL'"-s I hereby certify that. I own property adjacent to _. ...-..:RrRpetty.locgS�d of Property 's '(aatlress, Lot, Block, Road, etc.) -- -_ ......._.....__..._..„_� on wL �j�2nrG1- , in rwce,u.F- sozT 256acA N.C. (Waterbody) (City/Town and/or County) locatio The applicant has described to me, as shown below, the development proposed at the above I have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) SSE �TT��NE� J7i2�.,n.�G - E-/Wyosav 7�Q'v6rcuG of Lewls R9NGfh%D 3,.t; rEeT Tie Loy✓ P040"et- LowTi DO �'D I'rtaN�atwG THe 3.S�LEv�L WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me, (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Inform tion ignature , Pmnnt or Type Name -'frl. Ea�< —F3F Mailing Address zd�, jfC 2wz) C t /State ip m�...n���,TT 47�rM�a-r •�.r Telephone Number LTLniE 12 nr, i Date Property Owner - - ( I a A a ---'PasIM SiAat},re, � ^�aECEivEo Print or Type Name AUO 0 3 1015 Mailing Address City/State2ip cK 1 '1 Telephone Number Date (Revised 6/16/2012) Ovs Ivor urn• ..... 111Yi Q7,�QVVy 9N�9a3ba 310 wa ales 3N01339S 00"da 133r"d �JNJ J anjl � j9'JND�j�I S ]M�-0`i � Tagr� �e3S/13N nio 838bd SIOl E 0 9RV '9 �vaN 1/5ly j; �%av 30 w.. dwa N pplY .............. ..... as ,reln.........• .... �................."....... ea NOnI ............................Sal d Nor :003031 00 M01301331 S'f_► 1108 43SOAOSA - IVISOO M01381134 a W01108 9NILS%X3 •601031 s ye ��dr 0�e p33p rN�OpIY mml 'Vol ,1%02 8NI13113 W F wI W �n s a i SIVIS310 0304334 39tlb01S Abtlb0aV131 w oZ-*-� _ /-' __flb 8 / � was\a �'usr diTSldo N .9. s> ■ Complete items 1, 2, and 3. A. signature ■ Print your name and address on the reverse X ` �- y 4 so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B._5 plved by or on the front if space permits. � C !I/ N 0.1. Article Addressed to: D. Is dellveryac If YES, enter riy1S. SbvzwJ ��. CvL�/ �jfill CY/�►��5'S Lr�lcc�st7� �3vG iZe�cf�� NG 9590 9403 0138 5077 1454 93 0 7015 0640 0005 2112 5230 Restricted ❑ Agent gnddre ❑ Signature Confirmation — ❑ signature Confirmation Restricted Deliver/ PS Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Recelpt II UNITED STAT.rik f� 'sl it First -Class Mail .111111 Postage &Fees Paid �� USPS • Sender: Please 'Pr{nt your name, address, and ZIP+40 in this box* �S • yz M c�::% Jnn . UO X 33 r AvZA-PQ f Oc- I�fG 2s'�U USPS TRACKI G# (IIIIIIIIIIII IIIII IIIIF�II�M�rANI�1�I�Al�llfll�'���i{Iliii�inj�tl�l�drigiill 9590 9403 0138 5077 1454 93 f ■ Complete items 1.2, and 3. IN Print your name and address on the reverse so that we can return the card to you. I. Attach this card to the back of the mailpiece, . or on the front if space permits. 1. Ar[icie Addressed to: Y2 &2,j GC �Ti2 t rrlG t—r2 N � E . c} �LGs �G�,� w r-e ✓ , II IIIIIII IIII (IIII IIII I II IIIIIIINII I IIIIII III 9590 9403 0138 5077 1454 62 7015 0640 0005 2112 D. Is delivery address different from item 198 L. Yea If YES, enter delivery address below: 3. Service Type ❑ Rdority Mall Express® ❑ Adult Signature ❑ Registered Mail' ❑ Adult Signature Restricted Delivery ❑ Registered Mal Restricted ❑ candied Mail® Delivery D Certified Mal Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery ❑ Signature Conennatlor^ " ul ❑ Signature Confirmation 5223 JI Restricted Delivery Rash oted Delivery PS Form April 2015 PSN 7530-02.000-9= Domestic Return Receipt J UNITED STATES POSTAL SERVICE II IFirst-Class Mail Postage &Fe;CsPaid US SNo. O • Sender: Please print your name, address, and ZIP+4s in this box" J- a n l �L::)Ojj o f-� 12U P.0)( 3-3 S% /8►Z4(2Ile FfoE NG 2WSJo LISPS TRACKING# IIIIIIIII ��;III�I�I�1� 95911 94t13 0138 1f54 6LM)If1 07 111' S 'fU Ln ti rq CmtlfiM Mall Fee r-Ia M mices a Feas (ce ba. ❑Rabae qe ptLn l>,ancorrvl [I Rakab Fecelpt(ele IW ) p p ❑CMMeE Mall Na+tMetl Mliray p ❑Muk Slgneture FagulrtC ❑Muk Signelure Naseticfetl OYNe p Pastflge S Oobl Poetegs antl Feu Ln rq p M1 PosUnWk F!" •Aunt '"' on or the Certln •"na Sue idemiger for ed Mail label). a�'chonlc verinpetion Yourmadoece. wery of delivery or attempted • A record Of dej algnattoo thrum ry (including the rociPlent's for a apecifiedpetiod,retalned bythe Postal S"jod^ Y,RPTtantRian niters: You may purchasefirst-Clan Mail- Ca ail e lath . or PrioriNM 1°servl�ce'GassMPackagelc ce! Into Mail service w rrotavaleble for oanmab'onal mail. Iraumace coverage k rwfavallable fq with C,uned,yled service. Nowever, the port nSansone Mall service deas note pumh� I certain PriorityM'roaillemsmatkallyin�Wtth •Tgran ddtllaonal fees entlorsememonm Witaproper U; turnf-110ng services: You maY request thlNeprrn receipt service,which Ceotdelivery(Incudln pmvtdese posYoucannanduta hartlemelplentksignalloe�Cenelechonlc version For as ha acapy rlppl,rethmhiranaidtaan ftDSattaph PS PS I1,1lscsdacnahrmecajit,aone Farm 3871 to Your maul 18 the follory��� /or an elecaank re9 ben rassociate pt assists "ce.oalK recetyee tluWicae a retail usPs®.lo no addidmylfee on this retail assound, Cernme Mall nc¢P to the Heshiry deucea the `o'd Mcd• which prow to the addressee's authorizedSonciliod y,ohnAdult signal,a, or agent 9n" to be at le Moe, which requires avaltable attB S$f 2l Yearsr es the Aeuttsi e�1) age(not 9nalure requires the sign restricted degdvery sem, whiep and pr.Was to be at least 2l cA by name, des deliOridvery a the add Years Mepe sit go (notavailableatro�t"fe�ea'saudb ag ant ens,....— geM ra de' ac°h b a Postmark on this ie the mni..e baModed Portion ion PS 8 S4w� I1S (nBYa'se)PSN>53pP ass. PnIITANC Save N is maplpt ter your mrnrds. Is. a. w......_... 38N, APdI MIS (newree) PM ]5a0-e2-0pn-9M> . J ARAPAHOE MPO ARAPAHOE, North Carolina 285109709 3613950687 -0098 07/03/2015 (252)249-1711 03:29:39 PM Sales Receipt Product Sale Unit Final Description Oty Price Price ARAPAHOE NC 28510-9659 Zone-0 $0.49 First -Class Mail Letter 0.40 oz. Expected Delivery: Mon 07/06/15 ®© Certified Mail $3.45 USPS Certified Mail #: 70150640000521125216 Return Receipt $2.80 Label #: 959GD40301385077145479 Issue Postage: , $6.74 CARY NC 27511-6356 Zone-1 $0.49 First -Class Mail Letter 0.40 oz. Expected Deli9ory: Mon 07/06/15 W Certified Mail $3.45 USPS Certified Mail #: 70150640000521125223 Return Receipt $2.80 Label #: 9590940301385077145462 Issue Postage: $6.74 RALEIGH NC 27615-2127 Zone-1 $0.49 First -Class Mail Letter 0.40 oz. Expected Delivery: Mon 07/06/15 @@ Certified Mail $3.45 USPS Certified Mail #: 70150640000521125230 Return Receipt $2.80 Label H: 959094?ou138507/145493 Issue Postage: $6.74 ARAPAHOE NC 28510-9658 Zone-0 $0.49 First -Class Mail Letter 0.40 oz. Expected Delivery: Mon 07/06/15 @@ Certified Mail $3.45 USPS Certified Mail #: 70150640000521125247 _ Return Receipt $2.80 Label #: 9590940301385077145486 Issue Postage: $6.74 Total: $26.96 Paid by: Debit Card $26.96 Account #: XXXXXXXXXXXX5405 Approval #: 579277 Transaction #: 70 23 903232932 Receipt#: 004024 ®® For tracking or inquiries go to USPS.com or call 1-800-222-1811. Order stamps at usps.com/shop or call 1-800-Stamp24. Go to usps.com/clicknship to print shipping labels with postage. For other information call 1-800-ASK-USPS. XWWWXXX%XWWWWXWWWX%%%XW%XXWW%WXXXXWWWWXX %WXWWWWWXWWWW%W%WW%WWWW%WWW%XWWWWWWWWWWW Get your mail when and where you want it with a secure Post Office Box. Sign up for a box online at usps.com/poboxes. X WXWWWWWWWWXXWWWWWWXXWX%XWWWWWWXWXWWXWWW X%XWWWW%WWWWWWWWXWWWXXWWWWWWWXWWWWWWWX%W Bill#: 1000201291308 Clerk: 04 All sales final on stamps and postage Refunds for guaranteed services only Thank you for your business HELP US SERVE YOU BETTER TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE Go to: https://postalexperience.com/Pos Or scan this code with your mobile device. YOUR OPINION COUNTS -.--'-'...Customer Copy t pR�%pFp I Bp46t. M v tEMPORARY S10RAGE a i DREDGED MAtER1ALS c o �W i.ia o W E031114 tW' BOA, MVA 4ftsev FEEtBELOW NORM1 PEf, o Ott / / / -•�; ...�---;•�' "�� FEEt BELOW NO \F RECEIVED AUG 0 8 205 aij~w t ug ECDON, gg����E��p,, N00k, �� E i�`�a ue — 845 Aln `��` ��� waterN NEUSE RIVER �r UGEND: IRON a IM...... ..... .............IRON 1 IPp ......_........DEEDI Dg.... » pg .......»........... ....PAGE ....pov>E CKF NWI._.. .... 3(:ANd6a'n )YZeo6fNG PROJECT $RE P11.NRH of ONE ..nnoncED Mp1NSENANCE DRE061N8 4:R ...., ..►n aoRs BAS4N _ .. V/C/N/T '4 0314 0446 JIT1 D s 3 CARTIEN DAN ; . '..�'FOVED R0 6DMN . O • 1llil + 111151 T56.50? �o - --� - ESP 11 N 07• 30' 00" W l00oo � f 1 a SCALE: /" : 50' O' 25' 50' +00' RECEIVED AUG 0 8 10b / REFERENCE: A MAP OF " MINNESOTT GOLF and COUNTRY CLUB '; RECORDED IN MAP BOOK 5, PAGE 43 , AID OF THE PAMLICO COUNTY REGISTRY IJ( REFERENCE: A DEED RECORDED /N DEED BOOK /50, PAGE 127, OF THE PAMLICO COUNTY REGISTRY. BASED ON FLOOD ZONE RATE MAP NO. 370418-0002-8. THIS PROPERTY 1S LOCATED /N AN *A5- FLOOD ZONE W/ AND /S MW THE /00 YEAR FLOOD BOUNDARY. RIPARIAN RIGHTS HAVE NOT BEEN DETERANWD L` OR CONSIDERED BY TENS SLNiVEY. y THIS SURVEY /S OF AN EXISTING PARCEL I� PREPARED BY 4 HUGE 11ORR/S, 1Ri • PROFESSIONAL ENGINEER REGISTERED LAND SURVEYOR ORIENTAL , N.C. DATE_ OCT.. 3/, 1995 JOB NO. 2002 SCAL E : I" • 50' DRWN BY BW A SURVEY FOR James R. McDonald And Wile Ju/ia Harris McDonald _ MWA(ESOTT NO. 5 TOWNSHIP PAMLICO COUNTY N.C. :A6JI �. �!..i.::.'J:'.•s 1iL'�:�'d2�Y.�ud'L'i H:.. RECEIVED AUG 0 3 2ab A�\ Town of Minnesott Bad 6 MINNESOTT BEACH MOBILE HOME PARK ,mm CLUB OR1V VICINITY MAP / �r/v NEUfE RIVER Nll� MAP TEMPORARY STORAGE aM / DREDGED MATERIALS 4 %k 0.o\ F / "Ink \ I dp�\ afef\ �4ef APPLICANT: MR. J.R. MCDONALD 76 BEACH DRIVE ARAPAHOE, NC 28510 TELEPHONE: 252- 249-2601 (HOME) 252-617-9228 (MOBILE) �% ?vs MAD DEED oNglD �10gsE LEGEND: 3" 2 EXISTING CONC. BOAT LAUNCH 2o. !awls'a, ana/ �cD DEEo�����36MEsR pgDEBgs EXISTING BOTTOM DEPTH IN FEET BELOW NORMAL WATER 3,5!PROPOSED BOTTOM DEPTH IN FEET BELOW NORMAL WATER MAD DEED NO, ✓AMEN �6 R 'pgDEBgs Water"v e NEGSE R/yER �tse �I per LEGEND: IPS............................IRON PIPE SET IPF............................IRON PIPE FOUND DO ..........................DEED BOOK PC ..........................PACE PP .........................POWER POLE R/W ........................RIGHT OF WAY CMS .......................CONCRETE MONUMENT SET CMF ........................CONCRETE MONUMENT FOUND x---------- x----------- x--------- x----- FENCELINE NWL............................ NORMAL WATER LEVEL M�}\S��°�P`� PROJECT DRAWING SHEET ONE ( �o SITE PLAN OF PROPOSED MAINTENANCE DREDGING bM LEWIS BRANCH ACCESS CHANNEL AND BOAT BASIN M MINNESOTT BEACH, NORTH CAROLINA NUMBER 5 TOWNSHIP, PAMLICO COUNTY APRIL 1, 2015 SCALE:1" = 20' 0 10 20 40 60 GRAPHIC SCALE (SHEET ONE OF TWO) y I r � e � 2.5' ABOVE 4 ° a rn •5 rn w O r x N S � a v \\ v — 3.0' - BOAT BASINT �N 1 _ x MR ti I -- 0 �- 1.7" ABOVE NWL \s r BOAT BASIN SECTION "B ................ B" VIEW EAST TO WEST BOAT BASIN CALCULATIONS: ,�N CARO"'%,� ,': A ACCESS CHANNEL CALCULATIONS: CUT SECTION: ITO LIN FT. x 30' AVG. WIDTH X 2' AVG. DEPTH = 10200 CUBIC FEET / 27 = 37S X 1.25 CONTINGENCY FACTOR = 470 CUBIC YARDS DREDGED MATERIALS PROJECT DRAWING SHEET TWO CROSS -SECTIONS PROPOSED MAINTENANCE DREDGING LEWIS BRANCH ACCESS CHANNEL AND BOAT BASIN MINNESOTT BEACH, NORTH CAROLINA NUMBER 5 TOWNSHIP, PAMLICO COUNTY APRIL 1, 2015 SCALE: I" = 2o' 0 10 20 40 60 GRAPHIC SCALE CUT SECTION: 50' x60' x 1.5' AVG. = 4500 CUBIC FEET / 27 = 166 CU YDS X 1.25 CONTINGENCY FACTOR = 210 CUBIC YARDS DREDGED MATERIALS APPLICANT: MR. J.R. MCDONALD 76 BEACH DRIVE ARAPAHOE, NC 28510 TELEPHONE: 252- 249-2601 (HOME) 252-617-9228 (MOBILE) � r /�\ LEWIS BRANCH CHANNEL SECTION "A" VIEW SOUTH TO NORTH _ WIDTH VARIES 0ORADE SEE SHEET ONE WOOD WALKWAY DREDGED "All E I o aCS� o I `� On PTown of Mlnneeoff Beech 9 1 � MINNESOTT BEACH a ` MOBILE HOME PARK � � 3 OUN�V CWB DRN VICINITY MAP / NEUSE RIVER ICINITY MAP 0N W e� TEMPORARYSTORAGE M DREDGED MATERIALS qe Io T� pOF\ / F��9y � I t`j%%%111111111 II sip0 <�2��i � I ' SEAL O •9ti '7 �R, sut�1•E' �-A" OZ APPLICANT: MR. J.R. MCDONALD 76 BEACH DRIVE ARAPAHOE, NC 28510 W�9 "%ooN OFFO q�O v� OKj14, Pq R �\ Fg43 LEGEND: EXISTING CONC. BOATLAUNCH ,s 20, le4z Br a�ah Cana/ M�0 � OFF�� q�0 ✓ wue-h fts p409 EXISTING BOTTOM DEPTH IN FEET BELOW NORMAL WATER 3.V PROPOSED BOTTOM DEPTH IN FEET BELOW NORMAL WATER !00 OFFO 0,glO BpO��K# _ 419iefs 40 waterN. a NFUSFR/yEk �)Z4'er �. I o" P``` PROJEC1SIiSHEET ONE E PLAN OF \ tnb o� TELEPHONE: 252- 249-2601 (HOME) 252-617-9228 (MOBILE) LEGEND: IPS............................IRON PIPE SET IPF............................IRON PIPE FOUND DB ..........................DEED BOOK PC ..........................PACE PP .........................POWER POLE R/W ........................RIGHT OF WAY CMS .......................CONCRETE MONUMENT SET CMF ........................CONCRETE MONUMENT FOUND x---------- x----------- x--------- x----- FENCELINE NWL............................ NORMAL WATER LEVEL PROPOSED MAINTENANCE DREDGING LEWIS BRANCH ACCESS CHANNEL AND BOAT BASIN MINNESOTT BEACH, NORTH CAROLINA M NUMBER 5 TOWNSHIP, PAMLICO COUNTY + o APRIL 1, 2015 SCALE: V = 20' y = o� — 0 10 20 40 60 H GRAPHIC SCALE (SHEET ONE OF TWO) llr • —44 �e:eulua�' PgN CA&off* ° e( SEA A. ACCESS CHANNEL CALCULATIONS: 111 $x / ■ 1 r 1 � 3 BOAT OASINm w � K J=w 404, 1 ABOVE NWL BOAT BASIN SECTION "B"------------ "B" VIEW EAST TO WEST BOAT BASIN CALCULATIONS: CUT SECTION:170 LIN FT. x 30' AVG. WIDTH X 2' AVG. DEPTH = 10200 CUBIC FEET / 27 = 375 X 1.25 CONTINGENCY FACTOR = 470 CUBIC YARDS DREDGED MATERIALS PROJECT DRAWING SHEET TWO CROSS -SECTIONS PROPOSED MAINTENANCE DREDGING LEWIS BRANCH ACCESS CHANNEL AND BOAT BASIN MINNESOTT BEACH, NORTH CAROLINA NUMBER 5 TOWNSHIP, PAMLICO COUNTY APRIL 1, 2015 SCALE: V = 20' 0 10 20 40 60 GRAPHIC SCALE CUT SECTION: 50' x60' x 1.5' AVG. = 4500 CUBIC FEET / 27 = 166 CU YDS X 1.25 CONTINGENCY FACTOR = 210 CUBIC YARDS DREDGED MATERIALS APPLICANT: MR. J.R. MCDONALD 76 BEACH DRIVE ARAPAHOE, NC 28510 TELEPHONE: 252- 249-2601 (HOME) 252-617-9228 (MOBILE) WIS BRANCH CHANNEL SECTION "All - VIEW SOUTH TO NORTH 4_ WIDTH VARIES_ SEE SHEET ONE nmue e n e•e WOOD WALKWAY DREDGED "All '4 031 V41WV,t AM 01100 4z ii 1A AS Wa in�tiloo AwAn NINA! 5 too "napop MCA Kohn V A � is; -slow A A so 35� I a �SR i I� I '5- p I on TWO oT Minnesott Beech 9 1 MINNESOTT BEACH a MOBILE HOME PARK la `p•. 3 DRN \ W uxtx� VICINITY MAP NEUSE RIVER CINIT�Y MAP TEMPORARYSTORAGE n, / DREDGED MATERIALS �• %AT H 1pq xv�%; "" 11 QP SSi 0 P 0 Z yy 3p4� z APPLICANT: MR. J.R. MCDONALD 76 BEACH DRIVE ARAPAHOE, NC 28510 TELEPHONE: 252- 249-2601 (HOME) 252-617-9228 (MOBILE) N0 OFFO �N 140 pASF O� m0 IV 2 0 m h� VI pTERLEVEt � t� d• t4 —Zr LEGEND: 3" EXISTING CONC. BOAT LAUNCH 20, !ew/s eranc� � a4a/ OF Map FO0* 40 AgFB os EXISTING BOTTOM DEPTH IN FEET BELOW NORMAL WATER s.VPROPOSED BOTTOM DEPTH IN FEET BELOW NORMAL WATER M0 OFFOBDON ✓lf ftx �6 Q pF, 84s � F llpq � 1 watefN. e NF�SFR/VFR �tse�,ly�r LEGEND. IPS............................IRON PIPE SET IPF............................IRON PIPE FOUND DO ..........................DEED BOOK PO ..........................PAGE PP .........................POWER POLE R/W ........................RIGHT OF WAY CMS .......................CONCRETE MONUMENT SET CMF ........................CONCRETE MONUMENT FOUND x---------- x----------- s--------- x----- FENCELINE NWL ............................. NORMAL WATER LEVEL L S1�*0�0 PROJECT DRAWING SHEET ONE SITE PLAN OF PROPOSED MAINTENANCE DREDGING LEWIS BRANCH ACCESS CHANNEL AND BOAT BASIN MINNESOTT BEACH, NORTH CAROLINA NUMBER 5 TOWNSHIP, PAMLICO COUNTY APRIL 1, 2015 SCALE: I" = 20' 0 10 20r GRAPHIC SCALE (SHEET ONE OF TWO) `_ m � m ti y W v W w_ 2 v v - 3.0. - - ---- BOAT BASIN) �w i µ I yW O NX F /ram I. 49_S' i 7" ABOVE NWL BOAT BASIN SECTION "B ................ Bit VIEW EAST TO WEST BOAT BASIN CALCULATIONS: (N L:Agd' `.'=OQ:QOF ssra l r SEAL 1rSaiin41N' ACCESS CHANNEL CALCULATIONS: CUT SECTION:170 LIN FT. x 30' AVG. WIDTH X 2' AVG. DEPTH = 10200 CUBIC FEET / 27 = 375 X 1.25 CONTINGENCY FACTOR = 470 CUBIC YARDS DREDGED MATERIALS PROJECT DRAWING SHEET TWO CROSS -SECTIONS PROPOSED MAINTENANCE DREDGING LEWIS BRANCH ACCESS CHANNEL AND BOAT BASIN MINNESOTT BEACH, NORTH CAROLINA NUMBER 5 TOWNSHIP, PAMLICO COUNTY I� APRIL 1, 2015 SCALE:1" = 20' 0 10 20 40 60 GRAPHIC SCALE ISHEET TWO OF TWO) —III CUT SECTION: 50' x60' x 1.5' AVG. = 4500 CUBIC FEET / 27 = 166 CU YDS X 1.25 CONTINGENCY FACTOR = 210 CUBIC YARDS DREDGED MATERIALS APPLICANT: MR. J.R. MCDONALD 76 BEACH DRIVE ARAPAHOE, NC 28510 TELEPHONE: 252- 249-2601 (HOME) 252-617-9228 (MOBILE) ��LEWIS BRANCH CHANNEL SECTION "A" VIEW SOUTH TO NORTH GRADE WOOD WALKWAY DREDGED ------"All o ., m ti Ln rq s Certified Mal Fee ri $ rL Extra Services& Fees (clieG eoe, eJnMnap{vop�a;e) ❑ Retum Receipt R nW1 $ Ln ❑ Ream Re pt (ai mnk) i Postmark C3 ❑ Cenmetl Mai Rues D*l $ Hare O ❑Mutt Siy� Re UM $ O ❑P uft sig�Reno- Mc wkl M Postage S 8 -J3 Total Postage and Fees O $ LO Se dTo O $iieefend'ApETYo..a1+OFkii7�ki.----____________________________________ M1 • A receipt (this portion of the Caddied Mail label). • A unique identifier for your mailpiece. • Electronic venficabon of delivery or attempted delivery. • A record of delivery (inch dmil the recipient's signature) that is retained by the Postal Service" for a specified period. Important Reminders: • You may purchase Certified Mail service with First -Class Mail', First -Class Package Service•, or Priority Mail® service. • Certified Maq service is not available far Intemabonal mail. • Insurance coverage is rotavailable for purchase with Ceteed Mail service. However, the purchase of Certified Mail service does not change me Insurance coverage automatically included with common Pnonly Mail items. • For an additional Ice, and wdh a proper endorsement on vie maiipiece, you may request the following services: - Return receipt service, which provides a record of delivery (Including the recipient's signature). You can request a hardcopy rel receipt or an electronic version. For a hardcopy, return receipt, complete PS Form 3811, Domestic Real Receipt attach PS Farm 3811 to your maiipiece; for an electronic realm receipt, see a retail associate for assistance. To mceore a duplicate return receipt for no additional fee, present this USIRS®-postmarked Certified Mail receipt to Me retail associate. -Restricted delivery service, which provides delivery to the addressee specified by name, or to the addressee's aNhanxed agent. - Adult signature service, which requires the sign¢ to be at least 21 years of age (not available at retail). - Adult signature restricted delivery service, which requires the signee to be at least 21 years of age and provides delivery to the addressee specified by name, or to the addressee's autboi agent (not available at retail). • To ensure that your Certified Mail receipt is accepted as legal proof of mailing, it should bear a USPS postmark. If you would like a postmark on this Certified Mail receipt, please present your Certified Mail item at a Post Office` for postmarking. r you don't need a postmark on this Cerified Mail rel detach the barodetl portion of this label, affix it to the madpiece, apply appropriate postage, and deposit the mailpiece. IMPORTAIll Sava this recelpt tar your records. PS Fwm 38009 Apn12015 fR.Wnio) PSN]536o2-0 9047 m •. ru N ILn 0FFICIAL USE N � Cattlfletl Mai Fee $ N ices & Fees 'hh *b� amas.axsplaW ❑HGOIn RBCelPt o a .PYi $ V'1 plyReceipt lelecwnic) ! PostresA M QCatlllee rnai ResNcle]omuwy j HM O QMhSlqulureRequireC j ROAN Sig W.Rm IW Wa j p Postage n Total Postage and Feaa $ trt I, Bent To � O $hbefandi�ot. IM1 Certified Mail service provides the following benefits: • A receipt (this pordon of the Certified Mail labep. for an electronic room receipt, see a retail • A unique denuder for your mi associate for assistance. To receive a duplicate • Electronic venturer, of delivery or attempted return receipt for no additional fee, present this delivery. USPS®-postmarked CeNfetl Mail receipt to the • A record of delivery (including the recipients retail associate. signature) that is retained by the Postal Service" Restricted! delivery service, which provides for a specified named. delivery to the addressee specified by name, or to the addressee's authorized agent. Important Remlmers: -Adult signature service, which requires the • you may purchaee Cerldhad Mail service with signor to be at lean 21 years of age (not Fast -Class Mail-, Frst-Class Package Service°, available at rettbi lir Priority Mail® service. - Adult signature restricted delivery service, which • Centered Mail semce Is notavailable far requires the signed to be at least 21 years of age Intemalional mad. 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 retain. at Certified Mail Service does not change the • To ensure that your Cermed Mail receipt is insurance coverage automatically Induced with accepted as legal proof of mailing, it should bear certain Priority Mail items. ASPS postmarkit you would like a mahnark on • For an additional fee, and wiU a proper this Cerffed Maul receipt, please present your endorsement on the malpiece, you may request Certified Mail item at a Post Croce —for the iellowing services: postmarkiii if you don't need a postmanc on this - Return receipt service, which provides a record Certified Mal receipt, detach the barcoded porton of delivery(including the recipients 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 hamcopy reform receipt, complete PS Forth 3811, Domestic Rehm Receipt, attach PS Form 3811 to your mailpiece; IMPORfAFlf: Save this receipt for your rewards. Ps com,3800, APW sots/Reverse/ Psry 753601 U.S. Postal Service"' CERTIFIED MAIL`' RECEIPT Domestic Mail Only For delivery information, visit our ciebsde at Ntvrv,sos. con, . Form 3800, April 2015 PSN>SHOOA0008o 7 Certified Mail service provides the following benefits • A receipt This potion of the Certified Mail label. for an electranic rdtum receipt, see a retail •Aunique identtier for your mailpiece. associate for assistance. To receive a duplicate • Electronic venficagon of delivery or attempted realm receipt for no adddional fee, present this delivery. USPS®-postmarked Certified Mail receipt to the • A record of deivery (including the recipieal 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 tie addressee's authorized agent Important Reminders: - Adult signature semce, which requires the • You may purchase Certified Mail service with signed to be at least 21 years of age (not Fim-Class Mail°, Frst-Class Paclrage Service•, available at rrump. ar Priodry Made service. -Adult signature rotational delivery service, which • Gertified Mail service is not available for requires the signee to be at least 21 years of age international mail. end provides delivery to the addressee specified • Insurance coverage is notavailable for purchase by name, or to the addressee's authorized agent with Certifed Mail service. However, the purchase (not available at retail. Uf Certified Mail service does not change the • To ensure that your Certified Mail receipt is insurance coverage automaticalty included with accepted as legal proof of mailing, it should bear certain Priority Mail items. USPS 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 roe mailpiece, you may request Gentled Mail item at a Post Office -for the following services postrubi it you don't need a postrnark on this - Ream receipt service, which provides a record Cartifietl Mail receipt, detach the recorded poach of delivery Qncluding the recipient's signature), of this label, affix it to the mailpiece, apply You can request a hardcapy realm receipt or an appropriate postage, and deposit the mailpiece. electronic version. For a hamcopy realm receipt, complete PS Form 3811, Domestic Return Receipt, aOech PS Form 3811 to your mailpiece; IMPOUW.. Save Mb receipt for your reports. PS Form 3800, Apnl dais(Reverse) PSN 75 02-0 90r