WQ0023634_NOV-2019-PC-0691 GC_20191021

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
William Rumsey
Currituck County
444 Maple Rd
Maple, NC 27956
11111111111111111111111111111111111111111111111
9590 9402 5158 9122 7691 91
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2019 0160 0000 3479 9176
D. Is delivery4ddress dif
If YES, enf belivery
❑ Agent I
❑ Addressee
C. Date of Delivery .
I IUf /It
n item 1? ❑ Yes
below: ❑ No
3. Service TypPiy.
❑ Priority Mail Express©
❑ Adult Signature mac;
❑ Registered Ma lT1
❑ 9duIt Signature Restricted Delivery
❑ Registered Mail Restricted]
Certified Mail@
Delivery I
❑ Certified Mall Restricted Delivery
0 Return Receipt for i
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature Confirmation TM
• Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
kPS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

USflsiIIG# First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5158 9122 7691 91
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
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