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HomeMy WebLinkAboutEH-07-2022-9638.tif ,. { • t. catawba county public health NOTICE OF VIOLATION ON-SITE WASTEWATER SYSTEM ®Certified Mail (Return Receipt) ®First Class Mail ❑Hand Deliver Mary E Jolley Finger Heirs PO Box 903 Conover, NC 28613 Re: EH-07-2022-9638 Occupant: Location: 2716 Sherlock St, Claremont, NC ®Residence ❑Business ❑Other To Whom It May Concern: You are hereby notified that you are violating the Rules adopted by the North Carolina Commission for Public Health or Article 11 of Chapter 130A of the General Statutes of North Carolina by owning or controlling a residence, place of business, or place of public assembly which is not provided with an approved wastewater system. Your wastewater system is not in compliance with applicable laws and rules. On 7/14/2022, an inspection of the wastewater system by the Catawba County Environmental Health Department indicated the following violations: Violation Law or Rule Citation Sewage running on top of ground out driveway 15A NCAC 18A.1961 (a)(I)(A) You are hereby ordered to bring your wastewater system into compliance by completing the following: ® Install/repair wastewater system You must obtain a repair permit from the local health department prior to repairing septic system. ❑ Eliminate wastewater discharge and connect to an approved wastewater system. ❑ Other Repairs ❑ Perform Maintenance If the wastewater violation is not brought into compliance by 8/15/2022, appropriate legal action will be taken. Failure to comply with the laws, rules and this notice will subject you to the following legal remedies, including but not limited to: Injunction Relief [G.S. 130A-18], Administrative Penalties [G.S. 130-22(c)], Suspension or Revocation of Permits (G.S. 130-23], and Criminal Penalties [G.S. 130-25]. You may contact our office at 828-465-8270 (phone) or 828-465-8276 (fax). 7,� Notice Issued 7/15/2022 Signed i ^ E•"• Agent catawbacountync.gov Environmental Health Cotnwbc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 828.465.8270 MAKING. LIVING. BETTER. ...., c-, n Ucu ,-* r _fi ......c M r- 0 g . ... ; . cD ' N..) ni .-4. . 0 CO r ) C) M -D . : 0Z• r-l• 1: co =- 1..r. oo In kj 11 ..0 6/ • o 0 a, 0 < 0 n) x IT1 W C.) t41 0 al it) • , Mo. idj 1-• ri m ...< () NI 1 f ' Liki M k i = VI : l.•, i:;' -• ••r• I PRESORTED •,, •,, , 1. FIRST CLASS 1.44, , 4 • ..1. k.....dtrI• • t' 541.•., , ,•; -:;°' CI c.p..., . ! . ="' ...... 1.;.1.: t.) ...., - i AY. 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( ) catawba county public health NOTICE OF VIOLATION ON-SITE WASTEWATER SYSTEM ®Certified Mail (Return Receipt) ®First Class Mail ❑Hand Deliver Patricia Ervin Finger 2725 Sherlock St Claremont, NC 28610 Re: EH-07-2022-9638 Occupant: Location: 2716 Sherlock St, Claremont ®Residence ❑Business ❑Other Dear Ms. Finger You are hereby notified that you are violating the Rules adopted by the North Carolina Commission for Public Health or Article 11 of Chapter 130A of the General Statutes of North Carolina by owning or controlling a residence, place of business, or place of public assembly which is not provided with an approved wastewater system. Your wastewater system is not in compliance with applicable laws and rules. On 7/14/2022, an inspection of the wastewater system by the Catawba County Environmental Health Department indicated the following violations: Violation Law or Rule Citation Sewage running on top of ground out driveway 15A NCAC 18A.1961 (a)(1)(A) You are hereby ordered to bring your wastewater system into compliance by completing the following: ® Install/repair wastewater system You must obtain a repair permit from the local health department prior to repairing septic system. ❑ Eliminate wastewater discharge and connect to an approved wastewater system. ❑ Other Repairs ❑ Perform Maintenance If the wastewater violation is not brought into compliance by 9/15/2022 appropriate legal action will be taken. Failure to comply with the laws, rules and this notice will subject you to the following legal remedies, including but not limited to: Injunction Relief [G.S. 130A-18], Administrative Penalties [G.S. 130-22(c)], Suspension or Revocation of Permits [G.S. 130-23], and Criminal Penalties [G.S. 130-25]. You may contact our office at 828-465-8270 (phone)or 828-465-8276 (fax). Notice Issued 8/15/2022 Signed Iq„ 5,401S Agent catawbacountync.gov Environmental Health Cotawbc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. U.S. Postal Service'"' CERTIFIED MAIL° RECEIPT m Domestic Mail Only ra For delivery information,visit our website at www.usps.com5. I= �Jrr77 cr DE Certified MaiFFing ,- r] lU Extrar! vra Services&Fees(check box,add fee as appropriate ��\� �1 '�J ['Return Receipt(hardcopy) $ 1-1 0 Return Receipt(electronic) $ Qitestmark�n C Q O Certified Mall Restricted Deiivery $ fr/O U+ Adult Signature Required $ / ❑Adult Signature Restricted Delivery$ __ ./Q lv p Postage ,S•P 5 2$V )))• ,- is-1 $ it Total Postage and Fees o $ EH-07-2022-9638 .a Sent To Patricia Ervin Finger Cl111 Street and A2725or$h t k-St N triy,"8iare;----remonti-NC-28610- Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your malipiece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the •A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service" -Restricted delivery service,which provides fora specified period. delivery to the addressee specified by name,or • ssee's authorized agent. Important Reminders re service,which requires the •You may purchase Ce ce �� at least 21 years of age(not First-Class Mail°,First- la available at retail). or Priority Mat°service. -Adult signature restricted delivery service,which •Certified Mail service is not available for requires the signee to be at least 21 years of age international mall. des delivery to the addressee specified •Insurance coverage Is not availalp 1 urc(p�sse? C�or to the addressee's authorized agent with Certified Mail service.Howe%;-tf'purc-base (not available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,It should bear a certain Priority Mail items. S�$ _postrqvirstf you would like a postmark on •For an additional fee,and a;• :r,...,rnjormtOitolaillalMill receipt,please present your endorsement on the mail l reQdoSt 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 malipiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the malipiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt,'attach PS Form 3811 to your maiipiece; IMPORTANT:Save this receipt for your records. PS Form 38O0,April 2015(Reverse)PSN 7530-02-000.9047 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3. A. Sign-tu e • Print your name and address on the reverse , [/� / • I Agent �1 � so that we can return the card to you. � `�' ` • Addressee • Attach this card to the back of the mailpiece, B. Received by(Printed Name) Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: 0 No Patricia Ervin Finger 2725 Sh4rlock St Claren..mt, NC 28610 II I IIIIII IIII III I II II II 1111111 IIIIII II III I I II II I 3. Service Type 0 Adult Signature 0 Priority Mail Express® El Registered MaiITM ❑ dult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 7152 1251 8032 10 Certified Mail® Sy ❑❑❑❑ ertified Mail Restricted Delivery ❑Signature ConfirfllatiOflTM ❑Collect on Delivery 0 Signature Confirmation 9 Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery 7021 0950 0001 2504 0163 El Insured Mail ❑Insured Mail Restricted Delivery (over$500) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt USP$�2A I ORO NC 7)7 First-Class Mail Postage&Fees Paid USPS 124M 4 L Penis No.G-10 9590 9402 7152 1251 8032 10 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service RECEIVED -07-2022-9638 Dean Evans, REHS {I �u22 Catawba County Environmental Health PO Box 389 Newton, NC 28658 Environmental Health '{II{Ifll1, i, )�ill�{lifll �illil��i�i)iilll{"I{{il�l!'I{{ J 1 catawba county public health NOTICE OF VIOLATION ON-SITE WASTEWATER SYSTEM ®Certified Mail (Return Receipt) ®First Class Mail [Hand Deliver Ervin Rhinehardt 416 Thornburg Dr NE Conover, NC 28613 Re: EH-07-2022-9638 Occupant: Location: 2716 Sherlock St, Claremont ®Residence ❑Business ❑Other Dear Mr. Rhinehardt: You are hereby notified that you are violating the Rules adopted by the North Carolina Commission for Public Health or Article 11 of Chapter 130A of the General Statutes of North Carolina by owning or controlling a residence, place of business, or place of public assembly which is not provided with an approved wastewater system. Your wastewater system is not in compliance with applicable laws and rules. On 7/14/2022, an inspection of the wastewater system by the Catawba County Environmental Health Department indicated the following violations: Violation Law or Rule Citation Sewage running on top of ground out driveway 15A NCAC 18A.1961 (a)(1)(A) You are hereby ordered to bring your wastewater system into compliance by completing the following: Install/repair wastewater system You must obtain a repair permit from the local health department prior to repairing septic system. ❑ Eliminate wastewater discharge and connect to an approved wastewater system. El Other Repairs ❑ Perform Maintenance If the wastewater violation is not brought into compliance by 9/15/2022 appropriate legal action will be taken. Failure to comply with the laws, rules and this notice will subject you to the following legal remedies, including but not limited to: Injunction Relief[G.S. 130A-18], Administrative Penalties [G.S. 130-22(c)], Suspension or Revocation of Permits [G.S. 130-23], and Criminal Penalties [G.S. 130-25]. You may contact our office at 828-465-8270 (phone)or 828-465-8276 (fax). Notice Issued 8/15/2022 Signed Agent catawbacountync.gov Environmental Health Cctcwbc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. U.S. Postal ServiceTM CERTIFIED MAIL® RECEIPT o Domestic Mail Only N ra For delivery Information,visit our website at www.usps.com®. 0 Q{�inchardt DE Certified MailYdd ;G443 y' tti Extra Services&Fees(check box,add fae as eppropdat�l ^ ❑Return Receipt(hardcopy) $ f! •f 1^ 1 4 0 Return Receipt(electronic) $ C 13ostmark '.i o ❑Certified Mail Restricted Delivery $ 11 Jl �/)�/n V ❑Adult Signature Required $ 1'� �"` �) O �Ot ❑Adult Signature Restricted DelNery$ o Postage `?d603" lS) $ Er Total Postage and Fees 0 $ EH-07-2022-9638 rq Sent To Ervin Rhinehardt ru o Street and A 4I6Thornburg Dr NE r- 'c y- ale;z; anover;NC-28613 1iYd7177Ma:TrTr7•R7111thILitiziMMM.M`ess,vi Y.T7G Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mall 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 tee,present this delivery. LISPS®-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 •tp •• 's authorized agent. Important may Reminders: ;® � t rvice,1 years ofrequires the ot •You may purchase Certified e n n: •��•ast 21 years of age(not First-Class Mail,First-Clas a e e, available at retail). or Priority Mail°service. -Adult signature restricted delivery service,which •Certified Mall service is notavallabte for requires the signee to be at least 21 years of age International mail. , matp(09es delivery to the addressee specified •Insurance coverage Is notavallabte fy1�►r jase[ byw r to the addressee's authorized agent with Certified Mail service.However,Uhe purchase (not available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. LISPS ppppsi�makilpf1�YYppu would like a postmark on •For an additional fee,and q n tpgntlateiglialita tdceipt,please present your endorsement on the mallplec, y'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 Forth 3800,April 20f 5(Reverse)PSN 7530-02-000-9047 IJ G, ^ 0 0 n w C na _o• Fri w2, n � _a co r' = ( •rt o — 0 P — • z m P N m 1.1 si 0 Y 1 J :s a fU t clil orzl - Q? `0 al co ? 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CD 2 � CO LLI E2� ) 00 � / E Z \ �) < o < - fq 2 § ■ ■ ■ w o E 1 - .. catawba county public health NOTICE OF VIOLATION ON-SITE WASTEWATER SYSTEM ®Certified Mail (Return Receipt) ®First Class Mail ❑Hand Deliver Orlando Rhinehardt 2744 Sherlock St Claremont, NC 28610 Re: EH-07-2022-9638 Occupant: Location: 2716 Sherlock St, Claremont ®Residence ❑Business ❑Other Dear Mr. Rhinehardt: You are hereby notified that you are violating the Rules adopted by the North Carolina Commission for Public Health or Article 11 of Chapter 130A of the General Statutes of North Carolina by owning or controlling a residence, place of business, or place of public assembly which is not provided with an approved wastewater system. Your wastewater system is not in compliance with applicable laws and rules. On 7/14/2022, an inspection of the wastewater system by the Catawba County Environmental Health Department indicated the following violations: Violation Law or Rule Citation Sewage running on top of ground out driveway 15A NCAC 18A.1961 (a)(1)(A) You are hereby ordered to bring your wastewater system into compliance by completing the following: Install/repair wastewater system You must obtain a repair permit from the local health department prior to repairing septic system. ❑ Eliminate wastewater discharge and connect to an approved wastewater system. ❑ Other Repairs ❑ Perform Maintenance If the wastewater violation is not brought into compliance by 9/15/2022 appropriate legal action will be taken. Failure to comply with the laws, rules and this notice will subject you to the following legal remedies, including but not limited to: Injunction Relief[G.S. 130A-18], Administrative Penalties [G.S. 130-22(c)], Suspension or Revocation of Permits [G.S. 130-23], and Criminal Penalties [G.S. 130-25]. You may contact our office at 828-465-8270 (phone) or 828-465-8276 (fax). Notice Issued 8/15/2022 Signed „ 5.4.•s Agent catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. U.S. Postal Service M CERTIFIED MAIL° RECEIPT Nw Domestic Mail Only ✓-a For delivery information,visit our website at www.usps.coma. I= - Certified Ma. inchardt DE "" o '\(, Nl LI" $ ''CD,"--- n-i Extra Services&Fees(check bar,add fee as eppropdat je' ❑Return Receipt(hcopy) $ ((j ���� V^ ✓l 0 Return Receipt(electronic) $ Opostmar14 i.;\, CD 0 Certified Mail Restricted Delivery $ 1' re J C;i ['Adult Signature Required $ o ,LD \� , ❑Adult Signature Restricted Delivery$ o Postage &SpS_2�� $ a- Total Postage and Fees s EH-07-2022-9638 a Sent To OrfarideaTiinehardt ru O b`treet end Ap244 stieduckst r- `L'iry,State,ziglaremont,-PiC 28610- Ixy7.Tl. T:T.I.TI.rTtIL iSti 7ti1+'�i.Zers'.�itraM . 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 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: !!! u •• • ervice,which requires the •You may purchase • Certified r'^ ith pole,: : t Q�{ t 21 years of age(not First-Class Mail°,First-CI a �.j stt 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, po r(irr has 9 b(l(f Ogor to the addressee's authorized agent with Certified Mall service.Howeve rch r ((relilable at retail). of Certified Mail 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 typiopi v1 m A n• his cgrtifiied Mail receipt,please present your endorsement on the mailpiece,y tdr Yriatex raiMi 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 mailpiece; IMPORTANT:Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 N 3 O /, W^yj 1 1 —, ? G) C) ." tr Cr (0 Cv fib x W �W a w O Icy n 0.1 z �:� m I,uT m x rr J 0 `C u N •V m T P I's w , EGG Q) Ili,FAX) 1(-4-1f2 _ a" ill simmminwimmm i�n O �— U1 n !J Q I= o 'p •j 3 0 Ln 0 70 O 7 Z x- et,' o 111.1111 11 Ifc a ,, =,-N cI ',I p F I ` c G r 07:0 18 ; rm tlu 2: t FI N A ��;,.) 0 D (11 S,i +AAY r ui ' -I r ^i I n Ui 0 n,0 • y, „ /Ix. xx� it 4.1 Z. eef! , 01 nI ti o N v e U) -�:11 1!IC N .�•,;ry VI Iv w oo -,� III to S 1 I CI .., cn Fa Ira .�p N cnEf � G ' ' COm /yam N WIll i iv N C. N - ( 7 /} \f ± ; o !\ \\( ƒ\ < ■ « » z }22 ,< 5 ' > O E ] O o )77 ,27 2} u &,_area) o .1 ° # �/ \}ƒ % } § k2 uee OD R § 2.... § 3 \ § a § $ k 2 ) k » § § $ k-0-a ] ig ) 7 o ow c )E( 7 t 7 \ \j ƒ2!'23± - l2 �� }` \ cn / \— (1 1 ) n}\\ o d X m c J RoaG . wDEn0000\ rs- § _ ci / ko g <3 § 0 ' E ,- � c 9 a) m •» © § § fa3 � _ / fru a d Ch o• $ � _ \ e ) n § § § E IN _ / c _ LII / ] \ff } 2 � Z � \ ) R \ Lu Lu / ]7 - § » o o = / in/ in \ c 7 Ln E \ / / k $ § G 0 % cr - ! c - § © § $ £2 2 � / f � c £ / Ili ao_ -� 7 o � u 7 : � m Lu � f/ k § § � / ! \ \ / ESkb ! \ cn ■ ■ ■ w c. _ catawba county public health NOTICE OF VIOLATION ON-SITE WASTEWATER SYSTEM ®Certified Mail (Return Receipt) ®First Class Mail nHand Deliver Jazman Rhinehardt c/o Conover Nursing&rehab 920 4th Street SW Conover, NC 28613 Re: EH-07-2022-9638 Occupant: Location: 2716 Sherlock St,Claremont ®Residence riBusiness nOther Dear Mr. Rhinehardt: You are hereby notified that you are violating the Rules adopted by the North Carolina Commission for Public Health or Article 11 of Chapter 130A of the General Statutes of North Carolina by owning or controlling a residence, place of business, or place of public assembly which is not provided with an approved wastewater system. Your wastewater system is not in compliance with applicable laws and rules. On 7/14/2022,an inspection of the wastewater system by the Catawba County Environmental Health Department indicated the following violations: Violation Law or Rule Citation Sewage running on top of ground out driveway 15A NCAC 18A.1961 (a)(1)(A) You are hereby ordered to bring your wastewater system into compliance by completing the following: Install/repair wastewater system You must obtain a repair permit from the local health department prior to repairing septic system. ❑ Eliminate wastewater discharge and connect to an approved wastewater system. ❑ Other Repairs ❑ Perform Maintenance If the wastewater violation is not brought into compliance by 9/15/2022 appropriate legal action will be taken. Failure to comply with the laws, rules and this notice will subject you to the following legal remedies, including but not limited to: Injunction Relief [G.S. 130A-18], Administrative Penalties [G.S. 130-22(c)], Suspension or Revocation of Permits [G.S. 130-23], and Criminal Penalties [G.S. 130-25]. You may contact our office at 828-465-8270 (phone)or 828-465-8276 (fax). Notice Issued 8/15/2022 Signed t„ EA'.s Agent catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. U.S. Postal ServiceTM CERTIFIED MAIL° RECEIPT =' Domestic Mail Only r-R For delivery information,visit our website at www usps.come. 0 s Certified Mail8inchardt DE rzi U' R1 Extra Services&Fees(check box,add fee as appropriate) ❑Return Receipt(hardcopy) $ �! ' r-=1 ['Return Receipt(electronic) $ C S` pd i O ❑Certified Mail Restricted Delivery $ \ Hgre w ❑Adult Signature Required $ D ❑Adult Signature Restricted Delivery$ +- �" `I� D Postage ( 1 A $ s 2072 lT" Total Postage and Fees $ EH-07-2022-9638 a Sent To Jazman Rhinehardt al O Street and A{Q/C.:Cu ero.NTursing& rehab City,State,z 2D 4th$treet-SW 17177.W4 _ r r w r a _,.:: r 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 for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. LISPS®-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. delive to the addressee specified by name,or Important Reminde ressee's authorized agent Pu INIZit! alum service,which requires the •You may purchase C� rvi / vee to be at least 21 years of age(not First-Class Mail',Fir C Service•, available at retail). or Priority Mail*service. -Adult signature restricted delivery service,which •Certified Mall service is notavallable for r, ires the signee to be at least 21 years of age International mall. rl provides delivery to the addressee specified •Insurance coverage Is not availippurrash - by name,or to the addressee's authorized agent with Certified Mail service.No a 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 al proof of mailing,it should bear a certain Priority Mail items. If you would like a postmark on •For an additional fee,anoiNdl,AproPeTial enta ed Mail receipt,please present your endorsement on the maiOUNtou 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 Mall receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mallplece,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 csi i NN COO rE W N I O Q w i C Qt.... ._ — cI) 1 r -0 . N O U) i _ !LNO NJ _ ". . 6.. cr-7) t _ ..... . .. . .... . • . • . ._ „...... :. .......... ...... . .r •A••••••. 7= Z z N �__, — N = r r I n. �. 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