160-05 Minor Mod. 01/2012

Permit Class Permit Number
MODIFICATION/MINOR 150-05
STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
and
Coastal Resources Commission
ihrmit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
X Excavation and/or filling pursuant to NCGS 113-229
Issued to Inlet Point Harbor BOA c/o Ann Bowman, 1025-A N.Lake Park Blvd.,Carolina Beach,NC,28428
Authorizing development in New Hanover County at adj. to AIWW, Myrtle Grove Sound, Federal
Point Township , as requested in the permittee's letter dated 1/4/11, including the
attached workplan drawings (1) "received in Wilmington" on 1/4/12
This permit, issued on January 23,2012 , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
be subject to fines, imprisonment or civil action;or may cause the permit to be null and void.
1) Unless specifically altered herein, this modification authorizes the repair of the existing bulkhead by
removing/cutting the filter cloth at the location of the weep holes and installation of plywood as
indicated in the letter dated 1/4/11 and the attached workplan drawing dated received in Wilmington on
1/4/12.
2) Prior to project initiation, a turbidity curtain shall be placed across the terminal end of the access
channel at the point of entrance to the boat basin to prevent unnecessary siltation into the adjacent water
body. The turbidity curtain shall remain in place until turbidity levels behind the curtain are equal to or
lower than ambient levels.
3) The turbidity curtain shall be constructed in a manner to allow for detachment for continued vessel use
of the basin.
(See attached sheet for Additional Conditions)
This permit action may be appealed by the permittee or Signed by the authority of the Secretary of DENR and the
other qualified persons within twenty(20)days of the issuing Chairman of the Coastal Resources Commission.
date. An appeal requires resolution prior to work initiation or
continuance as the case may be.
This permit shall be accessible on-site to Department
personnel when the project is inspected for compliance. U.
Braxton C. is, Director
Any maintenance work or project modification not covered Division of Coastal Management
hereunder requires further Division approval.
All work shall cease when the permit expires on This permit and its conditions are hereby accepted.
December 31, 2012
In issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina Coastal
Management Program. Signature of Permittee

Inlet Point Harbor BOA Permit# 160-05
Page 2 of 2
ADDITIONAL CONDITIONS
Sedimentation and Erosion Control
4) Appropriate sedimentation and erosion control devices, measures or structures shall be implemented to
ensure that eroded materials do not enter adjacent wetlands, watercourses and property (e.g. silt fence,
diversion swales or berms, etc.).
5) All disturbed areas shall be properly graded and provided a ground cover sufficient to restrain erosion
within thirty days of project completion.
General
6) No vegetated wetlands shall be excavated or filled, even temporarily.
7) This minor modification shall be attached to the original of Permit No. 160-05, which was issued on
10/21/05 and the minor modification issued on 6/28/06, and copies of all documents shall be readily
available on site when Division personnel inspect the project for compliance.
8) All conditions and stipulations of the active permit remain in force under this minor modification, unless
altered herein.
NOTE: The expiration date of this permit has been extended in accordance with Session Law 2009-406,
as amended by Session Law 2010-177.

AVil;A11,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Dee Freeman
Governor Braxton C. Davis, Director Secretary
January 24, 2012
Inlet Point Harbor BOA
c/o Ann Bowman
1025-A N. Lake Park Blvd.
Carolina Beach,N.C. 28428
Dear Sir or Madam:
The enclosed permit constitutes authorization under the Coastal Area Management Act, and where applicable,the
State Dredge and Fill Law,for you to proceed with your project proposal.The original(buff-colored form)is retained by
you and it must be available on site when the project is inspected for compliance.Please sign both the original and the
copy and return the copy to this office in the enclosed envelope. Signing the permit and proceeding means you have
waived your right of appeal described below.
If you object to the permit or any of the conditions,you may request a hearing pursuant to NCGS I I3A-121.1 or
113-229.Your petition for a hearing must be filed in accordance with NCGS Chapter 150B with the Office of
Administrative Hearings, 6714 Mail Service Center,Raleigh,NC 27611-6714,[phone] within twenty(20)days
of this decision on your permit. You should also be aware that if another qualified party submits a valid objection to the
issuance of this permit within twenty(20)days,the matter must be resolved prior to work initiation. The Coastal
Resources Commission makes the final decision on any appeal.
The project plan is subject to those conditions appearing on the perinit Form. Otherw ise, all work must be carried
out in accordance with your application.Modifications,time extensions,and future maintenance requires additional
approval.Please read your permit carefully prior to starting work and review all project plans, as approved. If you are
having the work done by a contractor, it would be to your benefit to be sure that he fully understands all permit
requirements.
From time to time,Department personnel will visit the project site.To facilitate this review,we request that you
complete and mail the enclosed Notice Card just prior to work initiation.However, if questions arise concerning permit
conditions,environmental safeguards,or problem areas,you may contact Department personnel at any time for assistance.
By working in accordance with the permit,you will be helping to protect our vitally important coastal resources.
Sincerely,
Douglas V. Huggett
Major Permits and Consistency Manager
Enclosure
400 Commerce Ave.,Morehead City,NC 28557 One
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net NoahCaiOli11a
An Equal Opportunity 1 Affirmative Action Employer Natimall

DCM Coordinator: �. �`7�l/d17, I Permit#: lLtO�U S^
MAILING DISTRIBUTION SHEET
Permitee: 4V/��
✓ 6
Agents:_1� or�tdl h� �yfliLLt��/�GGrGl!/1
DCM Field Offices
Elizabeth City (with revised work plan drawings)
Morehead City
Washington
Wilmington /
US ACOE Offices:
Washington: Raleigh Bland
Tracey Wheeler
William Westcott(NC DOT)
Bill Biddlecome(NC DOT)
Wilmington: Dave Timpy �-
Cultural Resources: Renee Gledhill-Early
Public Water Supply: Debra Benoy (WIRO)
Joey White(WARD)
Marine Fisheries: Anne Deaton
NC DOT: Ken Pace
Shellfish Sanitation: Patti Fowler
State Property: June Michaux
Water Quality: Karen Higgins (Raleigh) r'-
John Hennessy (NC DOT)
Washington: Amy Adams
Al Hodge
Kyle Barnes
Wilmington: Joanne Steenhuis—401
(_C%ad Coburn-40
Linda Lewis - Stormwater
Wildlife Resources: Maria Dunn(WARD)
Molly Ellwood(WIRO)
LPO:
Fax Distribution: Permitee#:
Agent#:

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
MEMORANDUM
TO: Doug Huggett
Major Permits Section, Morehead City
FROM: Robb Mairs RECEIVED
Field Representative, Wilmington
THRU: Debra D. Wilson b Q
V,./ JAN 17 2012
District Manager, Wilmington
DCM-MHD CITY
DATE: January 12, 2012
SUBJECT: Permit Modification Request
CAMA Major Permit No. 160-05
Inlet Point Harbor BOA c/o Ann Bowman
New Hanover County
Mr. Michael Conard with Carolina Marine Construction, Inc. and acting agent for Inlet Point Harbor
BOA, is requesting a minor modification of State Permit No. 160-05. State Permit No. 160-05 was issued to
Inlet Point Harbor BOA c/o Ann Bowman on October 21, 2005 for maintenance excavation of an existing boat
basin and access channel, adjacent to the AIWW, Myrtle Grove Sound, in New Hanover County. State Permit
No. 160-05 was modified on June 28, 2006 for the replacement of the existing, deteriorating wooden bulkhead
located within the Inlet Point Harbor BOA basin and access channel. Approximately 2,800 linear feet of a new
composite bulkhead was installed at an average of approximately 2 feet to 5 feet waterward of the existing
wooden bulkhead. State Permit No. 160-05 was due to expire on December 31, 2008; however, was subject
to extension by the Session Law 2009-406, and as amended by Session Law 2010-177, the Permit Extension
Act.
Based on the recommendations in the attached letter dated October 10, 2011 from Mr. Mark Weiss,
PE, Project Engineer with Criser Troutman Tanner Consulting Engineers and representing the Inlet Point
Harbor BOA, Mr. Conard is requesting to remove/cut the filter cloth at the location of the weep holes of the new
composite bulkhead, aforementioned, which would relieve the hydrostatic pressure landward of the composite
bulkhead to prevent future failure. According to Mr. Weiss, this would result in the loss of fill material from the
space between the new composite bulkhead and the existing old wooden bulkhead into the upland boat basin
and access channel in the amount of approximately 450 to 1,200 cubic yards. Mr. Conard states that a
turbidity curtain would be installed at the location of the terminal end of the access channel at the point of the
entrance of the boat basin prior to the procedure to reduce the amount of material from escaping the project
area. The curtain would be constructed in a manner to allow it to be detached and reattached for continued
vessel use of the basin and channel as needed. Mr. Conard states that process should take approximately 6
to 8 days and that the turbidity curtain would remain in place for approximately 2 to 3 weeks to allow the
material between the existing bulkheads to drain and settle.
127 Cardinal Drive Ext.,Wilmington,NC 28405 One
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net NorthCarolina
An Equal Opportunity 1 Affirmative Action Employer ;Vaturallry

Inlet Point Harbor BOA State Permit No. 160-05 Modification Request
Page 2
Mr. Conard states in the attached project narrative and further clarification in a telephone conversation
on January 12, 2012, that once material is drained 3/8" plywood would be installed over the existing weep
holes that were cut into the old wooden bulkhead to allow for the installation of the existing tie-back anchor
system for the composite bulkhead to prevent additional loss of material behind the existing wooden bulkhead.
Mr. Conard also states that plywood would also be installed over the two existing bulkheads during the process
to cover the void between the bulkheads for safety purposes.
Mr. Weiss indicates that this procedure would serve to temporarily alleviate the earth and hydrostatic
loads and assist to mitigate future catastrophic failures of the new composite bulkhead until a permanent
engineered solution can be designed and implemented.
The agent has submitted a check (ck. # 7330) in the amount of$100.00 for the modification request.
This office has no objection to the proposal.
Enclosures
cc: Dave Timpy, USACE
Jessi Baker, DMF RECEIVED
Molly Elwood, WRC
Chad Coburn, DWQ JAN 17 2012
Steven Still, NH Co.
DCM-NIHD CITY

REC'D !"'N1 0 d. 2012
CAROLINA MARINE CONSTRUCTION, Inc
3600-E South College Rd. PMB:326 Wilmington,NC 28412 910-793-4143 fax [phone]
January 4, 2011
RECEIVED
To: NCDNR
Attn: Rob Mairs J A N 17 2 012
Re: Weep Holes/Inlet Point Harbour
ACM-MHD CITY
Rob:
Attached you will find a drawing depicting the area that we are proposing to "cut out"the filter
cloth in order to relieve the hydrostatic pressure on the bulkhead to help prevent future failures.
The drawing also shows the proposed location of the turbidity curtain. The turbidity curtain will
be installed before any filter cloth has been cut. A small cut in the filter cloth at each weep hole
location will be made to allow any water being retained behind the wall to drain. We expect this
to take(2) low tides to accomplish. The next step is to cut a large x pattern in each of the weep
holes. This will allow for any of the remaining water to drain. It is expected that there will be
some backfill material lost from in between the (2)walls. The proposed turbidity curtain will
contain any of this material within the basin. Plywood will then be installed over the holes that
were cut in the old wooden bulkhead(to install deadmen anchors for the new wall)to prevent the
loss of any material behind the old wall. Plywood will then be installed over the two bulkheads
to cover the void for safety purposes. We expect the whole process to take approximately 6-8
days. We plan on leaving the turbidity curtain in place for 2-3 weeks until all of the backfill
material that could be lost has drained from in between the walls and everything has settled. If
you have any questions or need anything else,please feel free to call my cell 470-6610 anytime.
Thanks,
Mike
JAN � 2017

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GENERAL PLAN & NOTES
v INLET POINT BULKHEAD REPLACEMENT GA.RY GREENE
tNLET POINT HOMEOWNERS ASSOCIATION
mnxM S[NspN DA�E ofSCPgipN er KIMTON,NORM CAR-NA ro.r orrK.b,fun .S,rWn M,.rn Cerouv Nsrr

iGOPROPERTY RECEIVED
MANAGEMENT
better association naanagenaent JAN 17 2012
DCM-MILD CITY
November 16, 2011
Subject: Inlet Point Harbor canal and basin work
Dear Inlet Point Harbor owners with real property adjacent to the canal and basin,
The recent failures in the bulkhead retaining wall have been analyzed by Mark Weiss, engineer
from CTT. In an attempt to provide temporary relief from hydrostatic pressure and further
catastrophic failure,the Inlet Point BOA board has decided to hire CIVIC, a marine contractor, to
implement the recommended procedures.This procedure will cause a turbidity curtain to be
installed an maintained until the areas have been stabilized and/or until a permanent repair is
implemented. Boating traffic will be affected in that the turbidity curtain will block the canal. It
will be constructed in a manner which will allow it to be detached, moved to the side, and
reattached for boat traffic.The fill material, which will drain from the weep holes, may effect
water depths in some areas and may impact boating navigability. Please see attached letters
from CCT and CIVIC with regard to this issue.
Thank you,
741l6e e
Al Best, President IPH BOA a
DCM W'ILI INGTON, NC
DEC 19 2011
GOProperty Mgt. Ph 910.681.1360 Fax [phone] E-mail [e-mail]

C R I S E R
TROUTMAN
TANNER
October 10, 2011
Mr.Al Best
Inlet Point HOA
196 Gazebo Ct
Wilmington, NC 28409
Re: Notification to CAMA
Temporary Reduction of Wall Load
Inlet Point Marina Basin Bulkhead Wall
Wilmington, NC
Dear Mr. Best,
In response to the recent catastrophic failures on or near September 27, 2011, CTT has reviewed the
possible options to temporarily reduce or alleviate the hydrostatic and/or earth loading on the FRP sheet
pile retaining wall. It is our professional opinion that this temporary reduction of the applied wall loading
would reduce the deflection and deformation of the FRP sheet pile sections in an effort to limit future
damage to the individual FRP sheets and prevent future catastrophic failures of the new FRP sheet pile
retaining wall.
Based on our field observations,including apparent deflection measurements,past project experience,
and our onsite discussions with you, Mr. Michael Conard of CIVIC, and Mr. Rob Mairs of CAMA, it is our
professional opinion that the following procedure is the most cost effective and efficient to temporally
reduce the applied wall loading provided that it is completed along the length of the retaining wall.
Remove/cut the existing filter fabric at the existing weep hole locations thereby allowing the
hydrostatic head to be released. Based on previous field observations,this would potentially lead
to loss of fill material from the annular space between the new and existing sheet pile retaining
wall and,therefore,would knowingly, have the high potential to release the fill material into the
boat basin. Anticipated quantities of released fill could be up to approximately 450 cubic yard
within the boat basin or 1,200 cubic yards within the entire upland basin(boat basin+entrance
canal).
The anticipated release of fill material into the basin would likely cause turbid water conditions
within the basin and we therefore would recommend that a turbidity curtain be installed within
the entrance canal,upstream of the affected area,during the construction process to retain the
turbid water within the construction area.
This procedure would require approval from CAMA and could possibly rRE► - ing
ED
within the affected area. DCM WIC GTO N
DEC 1 9 2011
CRISER TROUTMAN TANNER CONSULTING ENGINEERS
W IL MINGTON, NC RALEIGH, NC
PO Box 3727 Wilmington,NC 28406 13809 Peachtree Ave Suite 102 Wilmington,NC 28403 v 910.397 2929 ,910 397 2971 citengmeering com

Mr.AI Best RECEIVED
October 10,2011
Page 2 of 2
.JAN 17 2012
The procedure outlined above shall not be taken as engineered solution to be utilized to'permanently
reduce or limit the earth and hydrostatic loading that is applied to the new FRP sheet pile retaining wall.
It is our professional opinion that it will serve to temporarily alleviate the earth and hydrostatic loads and
assist to mitigate future catastrophic failures of the new FRP sheet pile retaining wall until a permanent
engineered solution can be designed and implemented.
We trust that this report has been responsive to your needs and please contact us if you have any
questions or comments.
Respectfully Submitted,
CRISER TROUTMAN TANNER
CONSULTING NGINEER5 NO li� ¢��li,�%,g
Keg
y
d
Mark F. Wei PE 31432
Project Engineer Z
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,lldtF.�
M FW/J RT/tl/6112.00
RECEIVED
DGM WILMINGT N, NC
DEC 1 9 2011
C R 1{f R
TROUTMAN
TANNER

CAROLINA MARINE CONSTRUCTION
3600-E South College Road PMB:326 Wilmington,NC 28412 910-793-4143 fax [phone]
October 21, 2011
To: NC DENR
Attn: Rob Mairs
Rob,
As per our meeting and conversations regarding the issues at Inlet Point Harbor; and taking into
consideration the recommendations of Criser,Troutman and Tanner Engineers,there is an
immediate need to relieve the pressure on the new bulkhead. In order to accomplish this, the
engineer has suggested cutting out the filter cloth in the weep holes of the new bulkhead, thereby
allowing it to drain and relieve the pressure. We are aware that the fill material from in between
the old and new walls will be lost in the basin area and may require future maintenance dredging.
We expect that this will occur fairly quickly. In order to mitigate the loss of fill,we are proposing
to install a floating turbidity across the canal. The curtain shall remain in place until everything is
stabilized and/or repaired. We are also proposing to cover the holes cut in the old wooden wall
(to install the new helical anchors)with V plywood to prevent the loss of any material behind
the old wall. Plywood is also being proposed to cover the void between the two walls for safety
purposes, The homeowners around the basin have been notified(see attached). If you need
anything further or have any questions,just call me on my cell 910-470-6610.
Thanks,
Mike Conard
T
RECEIVED
DCM WILMINGTM NC
DEC, 1n2011

60Property Management,LLC Mail - Inlet Point Harbor BOA Bulkhead mailing Page 1 of 1
' Gary Owens<[e-mail]>
Inlet Point Harbor BOA Bulkhead mailing
Gary Owens<[e-mail]> Fri, Dec 2,2011 at 6:23 AM
To: butch_britton Britton <[e-mail]>
Butch,
The three attached letters were mailed out to all Inlet Point Harbor BOA Owners. Your letter was sent to MN
and returned with a stamp saying"Temporarily Away/Return to Sender'. I thought I'd email you the letters so
you at least can read them, as they contain important updates regarding the bulkhead.
GO
Gary Owens
GOProperty Management
910-681-1360 (Phone) RECEIVED
910-681-1361 (Fax)
gary.owens aCmpropertymgt.com JAN 17 2012
1213 Culbreth Drive, Wilmington, NC 28405 www,gopropertym tq com
better association management DCM-MHD CITY
3 attachments
Bulkhead failure letter 11-16-11.pdf
176K
Inlet Point Sheet Notification to CAMA 10.10.11 -Final.pdf
1028K
CIVIC letter to DENR.pdf
54K
DEC16 2@11
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Robin&Kerry Toone ,f DECQ�C 1 U 2011
200 Inlet Point Dr
WILMINGTON,NC 28409 �i �� � ,
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PS Farm 3811,February 2004 Domestic Return Receipt 1{12595 02-MA540
COMPLETE SECTION •MPLETE THIS SECTION ON DELIVERY
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item 4°If Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse XQ Addressee
so that we can return the card to you. B. eceiv d by(Printed Name) �,Dje of eiivery
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Bob&Terry Thornton a'L"
17782 Highland Rd DEC I
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Baton Rouge,LA 70810 DEC 1.6 2011 3. Service Type
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Kevin&Elaine Stone 9
7820 Chip Shot Way DEC- a 6 2011
Wilmington,NC 28412
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2. Article Number
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PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540

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• -: COMPLETE THIS SECTIONSECTION
■ Complete items 1,2,and 3.Also complete Si r
item 4-if Restricted Delivery'is desired. ❑Agent
■ Print your name and-address on the reverse - Addressee
so that we can return the card to you. g, ed by Pnnte C. Datq of elvery
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or on the front if space permits.
D. Is dell f ? es
1. Article Addressed to: If YES, i�dt s l 1 �7 No
Stephen&joaanne White DEC 1.6 2011
5013 Gate Post Lane
Wilmington,NC 28412
3. Service T e , NC
❑Certified Mail ❑Express Mail
❑Registered ❑Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number- 7 011 0110 0001 1455 61487
(Transfer fromsetviee,label,
Ps Form 3811,February 2004 Domestic.Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A.,Sig un3
item 4 If Restricted Delivery is desired. L6&a
❑Agent
■ Print your name and address on the reverse ❑Addressee
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or on the front if space permits. Ury l U
1. Article Addressed to: D. Is de t 1? ❑Yes
If YE r Z fd F ❑No
Dennis&Candace Wooten DEC 1,6 2011
201 Gazebo C:t
WILMINGTON,NC 28409
❑Certified Mail ❑Express Mall
❑Registered ❑Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑yes
2. Article Number
(Transfer from service tabeq 7009 2250 0'0 01 9 5 7 3 7 7 5 7
PS Form 3811,February 2004 Domestic Return Receipt 102595.02-M-1540
COMPLETE
• SECTION COMPLETE
■ Complete Items'l,2,and 3.Also complete Si f
item 4 if Restricted Delivery is desired. r �� ❑Agent
■ Print your name and address on the reverse J1Addressee
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1. Article Addressed to: If YES erit'er ell a It re w: ❑No
L DEC 1 s 2a11
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7010 2780 0002 8152 4324
February 2004 Domestic Return Receipt
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SENDER: COMPLETE
j ■ Complete items 1,2,and 3.Also complete A. Signature
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so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
or on the front If space permits.
1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes
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"i Donald&Barbara Britton
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Unit 1920
Minneapolis,MN 55403 3. service Type
❑Certified Mail ❑ Express Mail
❑Registered ❑Return Receipt for Merchandise
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4. Restricted Delivery?(Extra Fee) ❑Yes
__- 2. Article Number
-'-'50 0001 9573 7733
irn Receipt 102595-02-M-1540;
- I
COMPLETE •
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. IA�Z
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1. Article Addressed to: D. Is delive address different fiotnitam 1? ❑Yes
If YES,eglter delivery address below: ❑ No
Lynn&Elaine Bailey
225 Gazebo Ct 66
WILMINGTON,NC 28409
3. Service Type
❑Certified Mail ❑Express Mail
-- ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7011 0110 0001 1455 6494
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ONDELIVE?Y
■ Complete items 1,2,and 3.Also complete IA. Si
Item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse Agent
so that We can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, R Name) C. a e d ivery
or on the front if space permits.
1• Article Addressed to: I dress different from' e,
If YES,en delivery asl' j]No
David&Debbie Godbold
202 Inlet Point Dr DEC i '
WILMINGTON,NC 28409
3. Serv�ce" �
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t7 Express Mail
❑Registered E❑Retum Receipt for Merchandise
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4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(transfer horn`aervice fabeq 7 010 2780 0002 8152 4256
PS Form 3811;February 2004 Domestic Return Receipt
102595-02-M-1540
COMPLETE •N COMPLETE THIS SECTION ON DELIVERY
■ Completeritems
1,2,and 3.Also'complete +Sig
item 4 d Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse rL�JfM��. ❑Addressee
so that We can return the card to you. B. Received
■ Attach this card to the back of the mailpiece, (P'rinted Name) C. Date of Delivery
or on the front if space permits. A
1. Article Addressed to: D. Is delivery @ddress�bliffer�nt from4tetr}t,p Yes
If YES,en te d4AWacl s l "D No
George Honma
PO Box 3172
Wilmington, NC 28406
3. So;=Type kN
❑Certified Mail ''❑Express Mail
❑Registered ❑Return Receipt for Merchandise
❑insured Mail ❑C.O.D.
4. Restricted Deliver
y?(Extra Fee) ❑Yes
2. Article Number _ - _.
(rmsfer from service label) 700'9 2250 0001 9573 7788
Ps Form 3811,February 2004 Domestic Return Receipt 102595-02-nit-1540

M CERTIFIED MAIL,,,,, RECEIPT CERTIFIED MAIL,,., RECEIPT
= (Domestic Mail Only;No Insurance Coverage Provided) r- (Domestic Mail Only;No Insurance Coverage Provided)
171- r-1
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C3 11301 Kimages Rd C3 14 Oak St
p S`ireet,4p rl Street, 4
f\- or PO Boa Charles City,VA 23030-2736 C3 or POBc Sayville, NY 11709-2917
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JAN 17 2012
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Z•C' C:3 121 Gazebo Ct - -
cT/ C r- orPO c WILMINGTON,NC 28409
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Sent To
Robert&Lisa Howell —
C3 2012 Anson Drive
Street Apt h or PO Box Ni Wilmington,NC 28405
171--
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