20230524_greencard

COMPLETE /N COMPLETE THIS SECTIONON DELIVERY
■ Complete items 1,2,and 3. '
■ Print your name and address on the reverse ft-1214Awnt
so that we can return the card to you. f`(��� ❑Addressee
■ Attach this card to the back of the mailpiece, Receiv?qy(Printed�ee C. t o�D�liYery
or on the front if space permits. CJl
1. Article Addressed to: D. Is delivery address different from item 17 Yes
If YES,enter delivery address below: [:]No
STEVE SIMMONS
RECEIVED Ic
4810 NEW BRITTON LOOP ROAD N
ASH NC 28420 1 PAY
13 3. Service Type II LR ❑Priority Mail Express®I III'I IIII �I I II I I I I II I I II I I(III I I III ❑Adult Slgnatuu�b9 v➢1Fy ❑Registered Mail Restricted
MhQrtified WHO Delivery
❑Certified Mail Restricted Delivery r Return Receipt for
7022 0 410 0003 1130 6680 Collect on Delivery Merchandise
2. Article Number(transfer m s�r0 e-VTC@ larreq — Collect on Delivery Restricted Delivery 0Signature ConfirmationTM
❑Insured Mali ❑Signature Confirmation
❑Insured Mail Restricted Delivery Restricted Delivery
(over$500
PS Form 3811,July 2015 PSN 7530-02-000-9053 l d— 14 f' Domestic Return Receipt

USPS TRACKING#
First-Class Mail
Postage&Fees Paid
' USPS
r Permit No. G-10
9590 9402 6134 0209 3718 53
United States •Sender:Please print your name,address, and ZIP+40 in this box•
Postal Service
NORTH CAROLINA DEPARTMENT
ENVIRONMENTAL QUALITY
DIVISION OF ENERGY,MINERA
LAND RESOURCES MINING SE ION
1612 MAIL SERVICE CENTER
RALEIGH NC 27699-1612
1740-7401