AQ_F_0200005_20220623_CMPL_ProofDlvry

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® Complete items 1,2,and 3 A Signature'
Print your name and,address on the reverse ❑Agent
so thatwe canreturn the caltito you:- ❑Addressee
,attach this card to;the back of he tiiaiiplece; B;.5 � C:Date of
"Delivery
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1 Mitchell Gold Company D: is delive, erentfrom item 1 ❑ es '
If YES, Yy address"below: -❑No
Attn: Mr. Rick Ashley,Oper.Mgr.
375Sharpe Road J � '�Q��,"
Hiiddenite,North Carolina 28636
JRV.061322.Permit.AQ OQRESViLLE"REGIONAL OFFICE
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PS Form 3$11,,'JUIy2015 PSN 5,30-02-000-9053 Domestic Return Receipt
FtPat-Class Mail
Postage&.Fees Paid
Perms,No.G-10
959p 9402 :39n' 60 71.5® ®3 .;.
United$I�at@ ®Seritler:PlBase print your name address,arts!ZIP--4®)n this,box®.
PBSt �Sit3 North"Carolina State Department
of Environmental Quality
Mooresville Regional Office-DAQ
610 East Center Avenue, Suite'301
Mooresville,North Carolina 28115
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