WQ0006254_Return_20191021

■ Complete Iterrik.i'r 2, and 3. - A. Signature
■ Print your•nafhe';'Lnd address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece, R
or on the front if space permits.
Article Addressed to:
J Bry;e Mendenh;fll
Carolina Water "�rvice Inc. of North Carolina
4944 Parkway Plaza Blvd. Ste 375
Charlotte, NC 2821.7
1111111111111111111111111111111111111111111111
9590 9402 5158 9122 7691 60
1 2. Article Number (transfer from service label)
`7019 0160 0000 3479 9145
p PS Form 3811, July 2015 PSN 7530-02-000-9053
D. Is delivery d'd
If YES, enter
❑ Addressee
(Printed N&Q C. Date of Delivery
0—/ V I
different from item 1? ❑ Yes
ny,address below: ❑ No
OCT "Y
odt�''p 1 �Gi,9
3. S6NiCd:TyC;
❑ Priority Mail Express®
❑ Adult Signatre, ;
❑ Registered Mail"'
❑ AduR Signature Restricted Delivery
❑ R=ed Mall Restricted
pGertifled Mail®
❑ Certified Mall Restricted D*my
❑ Return pt for
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Signature Confirmation*""
r1 Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
Rem every
(over $500)
1 A:
Domestic Return

USPS TRA ,!(rV� # First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5158 9122 7691 60
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box"
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
I-I'III'11�1�11l1"III��111111'il�i��Jill flll l'I�'i'lli�ill��il��