92505C - Chamblee, David

Z`°`C T y- I - 1 CAMA DREDGE & FILL No 92505 ABC D
1 = GENERAL PERMIT Previous permit
Date previous permit issued
I
New Modification I I Complete Reissue n 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:
15A NCAC ' 11- t, ,i( i( n Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
)Applicant Name Authorized Agent Pi of LY L__ •
Address Project Location(County): `^f!- , Vr-
City State ZIP Street ttAddress/State Road/Lot#(s)
Phone#( ) t. �1 1 i,
Email Subdivision
City
ZIP
Affected n L a L-:�.cw EW PTA 1-1ES n PTS Adj.Wtr.Body .,�/{._'�--'( (nat/man/unk)
AEC(s): n IDEAElIHA f uw piSPIMA piPWS Closest Maj.Wtr.Body T �f ,) VL)
ORW:yes/no PNA:yes/no
Type of Project/Activity
i t (Scale:5 )
Shoreline Length ,v
i i 1 _ . I
Access Length :...._ __...--—t-
' ...............
Pier(dock)length � JP
Fixed Platform(s) f 17.f' 'f4 i 1111, i
Floating Platform(s) ( . A !. x �� .. 4
to i1
, :
Finger pier(s) 3 1
O
Total Platform area _ - `irr eV u�}h i ..
Groin length/# j 1` ,,F
Bulkhead/Riprap length = -- t ' "L� '
Avg distance offshore - - ---
Breakwater/Sill l
Max distance/length t 1 i i 1 ' - I i '
Basin,channel _ ,..:.-., - -.mom► -.L... New. ,4 -�:r-
Cubicyards , — j
Boat ramp rStr .' f
Boathou�s. Boatli't !t`7 12\ v ', , L�
Beach Bul ozing "• i1116 I Ilk
Other 6teN3-C.Aft3
110111111111. 3-._..__.._.- 1 11111113M1
.-y-_.. --
SAV observed: yes i
Moratorium: n/a yyees s IHHIHHINaHI1 . .
Site Photos: j
Riparian Waiver Attached: yes _
A building permit/zoning permit may be required by: 1),,
1' -'\ 1 -Tf , 4. '^ ,
Permit Conditions �����1 j 0t Ell TAR/PAM/NtUS /BUFFER(circle one)
I {,i, •--a .L 0 See note on back regarding River Basin rules
'Af 1 Fr ' p n 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 orApplican PRI TED Name Permit Officer'sP�R(NTED N me
i "' -
Signature s Tease read compliance statement on back of permit** Signature
1
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 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

o�d`° L1CAMA fl DREDGE & FILL No. 92505 ABC D
Previous permit
GENERAL PERMIT p
Date previous permit issued .
[Ti New Modification I I Complete Reissue 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 I I Rules attached. I I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent j- �` L_ , . -
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected rim L EW Ni PTA PIES I--I PTS Adj.Wtr.Body i (nat/man/unk)
AEC(s): I OEA I_I IHA I UW I7 SPIMA ❑PWS Closest Maj.Wtr. I .,
Body ✓ F.
ORW:yes/no PNA:yes/no
Type of Project/Activity ti
(Scale:f\17 )
Shoreline Length ' " "----
1 i 1 1 Ib{ 1 . i
Access Length r I-... ...._ - t -. '�_.... . ....._... .. ... 1 ..._-
-—
Pier(dock)length I 1 .
tWIP •
i
Fixed Platform(s) 1. `� i i 1
y ‘CfC iiiiIIII
�i
Floating Platform(s) } kJ
dr,
M
Finger pier(s) 1
1 I
1
I i
Total Platform area j '+wr - r ht t
ii�. ri i I t��i'
Groin length/# i ! as 1/ V 1 `Jl�f_i
Bulkhead/Riprap length - Il
♦ ���- vir, v
1� .r
Avg distance offshore - -. f. ...._...... 1-_._... _......... ............._ ._..._.
Breakwater/Sill I i
Max distance/length . I 1
Basin,channel "' c
Cubic yards — ( ._ ._.___�—__ i ...._..___._ i .___
-
Boat ramp `f
Boathouse/Boatlift • • (cl\ 1614 p ] /
1 % .k.A.4� 1 i d/
Be5-6 Bulldozing
Other( )-(,i(1✓� -- ill - .-.....
f
.'-',' : ' '
{ If
r-� i I I
SAV observed: yes i
Moratorium: n/a yes f j '
Site Photos: yes I k
f I
Riparian Waiver Attached: yes , t 1 1 I I 1
A building permit/zoning permit may be required by: t!i -+ 1_(� f' Yxt c Q ,l', . --•'"--}•..--
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
1�1 ❑ See note on back regarding River Basin rules
. `•' Lc?f'�s�
' , n 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
1
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 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
ee
Name of Property Owner Requesting Permit:
Mailing Address: -J 0 I Pajan Road
Its '6193
Phone Number: 1f / k
dcl
Email Address: etYi
/ v /Ja I certify that I have authorized L (Orxc+YAi'G+IO/7
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Bo "T 1310
}
at my property located at fl3 a�h� � a y` Cam C . ill z �=GIB 6 .6eadi)
in On s/o IA) 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:
Signature
Dat'id (h, hI
Print or Type Name
t W li eJ
Title
111 I f l 90, 3
Date
This certification is valid through / /
t� ,r

Styron, Heather M.
From: Joshua Barber <[e-mail]>
Sent: Friday, June 30, 2023 11:02 AM
To: Styron, Heather M.
Subject: Re: [External] 113 Barton Bay
CAUTION:External email. Do not click links or open attachments unless verified. Report suspicious emails with the
Report Message button located on your Outlook menu bar on the Home tab.

This certification ta is
.

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I was going to give this all to you in person,with the check, but I missed your email about the 26th.
If you're going to be in the area again, let me know. I have all of these files ready to hand to you.
Ryley
On Mon,Jun 26, 2023 at 2:16 PM Styron, Heather M. <[e-mail]>wrote:
Tina and I will be in NTB on Wednesday of this week but we have a full schedule. If you are around the
area that day I can call you when we are on the way to those sites. If not we will have to schedule for a
different day. What is you number again?
Heather Styron
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deq.nc.gov
Find a Field Rep(arcgis.com)
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Department of Erwfron ontai f ttaltt+
Email correspondence to and from this address is subject to the North
Carolina Public Records Law andmay be disclosed to third parties,
From:Joshua Barber<[e-mail]>
Sent: Monday,June 26, 2023 10:23 AM
To: Styron, Heather M. <[e-mail]>
Subject: [External] 113 Barton Bay
t
CAUTION:External email. Do not click links or open attachments unless verified.Report suspicious emails with
the Report Message button located on your Outlook menu bar on the Home tab.
Thats ok. The first one will be for:
David Chamblee
113 Barton Bay
N. Topsail Beach
We will be installing a boat lift with a 16x25 roof(includes overhang) in his existing slip. I will
have all the riparian paperwork and check ready for you. When we meet.
6

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Ryley
910-330-0703
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From:Styron, Heather M. <[e-mail]>
Sent: Monday,June 26, 2023 9:42 AM
To:Joshua Barber<[e-mail]>
Subject: RE: [External] New contact
Sorry Ryley. Saw the email name and responded as such.
Heather Styron
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deq.nc.gov
Find a Field Rep(arccgis.com)
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,041 3041.
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1 .111111 E —Q 00.)
oeparblielvt of Environs nW quality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
9

•
From: Styron, Heather M.
Sent: Monday,June 26, 2023 9:35 AM
To:Joshua Barber<[e-mail]>
Subject: RE: [External] New contact
Hello Joshua,
Do you have the paperwork? Can you give me the address and what you are requesting so I can do
some leg work prior?
Heather Styron
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Please note that my email address is now [e-mail]
www.deq.nc.gov
Find a Field Rep(arcgis.com)
El"
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J�
341
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ompartmord Envt aairaa cnt.bl Bai.a<a[sfq
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From:Joshua Barber<[e-mail]>
Sent: Monday,June 26, 2023 9:26 AM
To:Styron, Heather M. <[e-mail]>
Subject: Re: [External] New contact
to

•
CAUTION:External email. Do not click links or open attachments unless verified.Report suspicious emails with
the Report Message button located on your Outlook menu bar on the Home tab.
Hey Heather!
I have some permits that I need to get in the SF/Topsail area. What would be a good day to meet with
you?
Thanks,
Ryley
910-330-0703
On Mon,Jun 26, 2023 at 9:19 AM Martin,Tina R<Tina.Martin(a)deq.nc.gov>wrote:
Heather Styron our district manager will be filling in until they find a new field rep and they are
trained.
Heather Styron
District Manager, Morehead City
Division of Coastal Management
North Carolina Department of Environmental Quality
400 Commerce Avenue
Morehead City, NC 28557
252.515.5417 (0) 252.725.3903 (M)
Tina Martin
Field Representative
Division of Coastal Management
400 Commerce Avenue Morehead City, 28557
Mobile: [phone]
[e-mail]
www.deq.nc.gov
http://ocrta 1.ncdenr,orq/webtcm/dcm-home
Find a Field Rep (arcgis.com)
1:1".,p
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E-mail correspondence to and from thus address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
From:Joshua Barber<[e-mail]>
Sent: Monday,June 26, 2023 9:17 AM
To: Martin,Tina R<[e-mail]>
Subject: [External] New contact
CAUTION:External email. Do not click links or open attachments unless verified. Report suspicious emails with
the Report Message button located on your Outlook menu bar on the Home tab.
Who is our new person for the area? Do you have contact info? I need some permits asap.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third
parties by an authorized state official.
12

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Dok, A iii h/ c e
Mailing Address: I r7 0 6F Pa 9 an ICJ(:
1'ale/yh, Aft:- "7-6 °3
Phone Number: 91 '1 — 2 ` I kd cl
Email Address: ()avid .? Ch4,.E ij h fee j gfncj, j , t-NY)
I certify that I have authorized F r/ U/")s±i'Li L f i ')/7
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all/CAMA permits
necessary for the following proposed development: 8T_D( !i / L ( /3^0
at my property located at // 3 ,-7G/) l ( 7• At -Titf•j I f'Gxh
60
in 0ns/0 U) 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:
Signature
Dowd riv h1
Print or Type Name
O ton ek,
Title
,_/ l /1 1 ova 3
Date
This certification is valid through I I

Tracking Number: Rer
70201290000028252987
co Copy Add to Informed Delivery
Latest Update
Your item was picked up at the post office at 3:45 pm on May 22, 2023 in
JACKSONVILLE, NC 28540.
Get More Out of USPS Tracking:
USPS Tracking Plus°
C✓ Delivered
Delivered, Individual Picked Up at Post Office
JACKSONVILLE, NC 28540
May 22, 2023, 3:45 pm
See All Tracking History

USPS TRACKING#
First-Class Mail
III !II 1 IIII �I I� G Postage&Fees Paid
USPS;138
L Permit No.G-10
9590 9402 5069 9092 5271 01
United States •Sender:Please print your name,address,and ZIP+4®in this box•
Postal Service
PFL Construction
▪ 135 Virginia Lane
▪ Sneads Ferry,NC 28460
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DEL
• Complete items 1,2,and 3. lanature
• Print your name and address on the reverse �p•�
so that we can return the card to you.
• Attach this card to the back of the mailpiece, B ived ( in ed e)
or on the front if space permits. I
1. Article Addressed to: D. Is deliv= , ad ress diffe nt from item 1? L
If YES,enter delivery ddress below: G.
?o e-1- prverfi'e s
.O. 13.x30c1
jack o vilie , W6
286411
11111111311111111111111111111111 3 Service Type dult Signature ❑Regi ty Mail an,'
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❑Rgistered MaiITM
Adult Signature Restricted Delivery ❑Registered Mail Restricted
9590 9402 5069 9092 5271 01 Certified Mail® Delivery
Certified Ma l Restr clad Delivery ❑Return Receipt for
0 Collect on Delivery Merchandise
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Signature ConfirmationTM
ed Mall 0 Signature Confirmation
7 0 2 ' 1290 0000 2825 2 9 8 7 ed Mail Restricted Delivery Restricted Delivery
'$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 .. Domestic Return Receipt

CertifiedMailservice provides the following benefits:
•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.
Important Reminders: -Adult signature service,which requires the
•You may purchase Certified Mail 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 service,which
•Certified Mail service is not available for requires the signee to be at least 21 years of age
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. 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 the mailpiece,you may request Certified Mail 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.
PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047

U.S. Postal Service`"" a s. 41. lee
CERTIFIED MAIL° RECEIPT
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0 Postage
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r-R Total Postage and Fees i
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PS Form 3800.April 2015 PSN 753o-oz-000-OO47 See Reverse for Instructions

Certified Mail service provides the following benefits:
•A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
•A unique identifier for your mailpiece. associate tor 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.
Important Reminders: -Adult signature service,which requires the
•You may purchase Certified Mail 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 service,which
•Certified Mail service is notavailable for requires the signee to be at least 21 years of age
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 Mall service does not change the •To ensure that your Certified Mall 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 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 mailplece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailplece; IMPORTANT:Save this receipt for your records.
PS Form 3800,Ape 2015(Reverse)PSN 7530-02-000.9047

U.S. Postal Service- rn,biec
CD j
CERTIFIED MAIL® RECEIPT
rs— Domestic Mail Only
a-
ru For delivery information,visit our website at www.usps.com®.
Ln Wi On frofr IC
n-I Certified Mail Fee
co $4.15 0 4 60
IU $ A''2 7c,
Extra Services&Fees(check box,add fee al fokros 1 6
D etum Receipt(henlcopy) $
c3 eturn Receipt(electronic) $ 10-00 Postmark
rm rtified Mall Restricted Delivery $ 30_„00 Here
CD Adult Signature Required $ $0.00
0 Adult Signature Restricted Delivery$
17:1 Postage
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ra Total Postage and Fs
1 7, 05/17/2026
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PS Form 3800,April 2015 R319 7530-02-000-9047 See Reverse for Instructions