WQCS00312_Other Agency Documents_20220425

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature
11 • Print your name and address on the reverse X r: Agent
so that we can return the card to you. Addressee
• Attach this card to the back of the mailpiece, B. eived by(Pri�d.Nam) C. a of Deliv ry
or on the front if space permits. Ix S l'1 cX�_ C 1
D.'Is delivery address different from item 1? ❑ es
City of Archdale If YES,enter delivery address below: No
Attn: Zeb Holden, City Manager
PO Box 14068
Archdale, NC 27263
1111111 III II I I II II II III I I I I I I II I I rvice Type 0 Priority Mail Express®
❑ dult Signature 0 Registered Expr
dull Signature Restricted Delivery 0 Registered Mail Restricted
9590 9402 1665 6053 7211 10 Certified Mail® Delivery
❑Certified Mall Restricted Delivery 0 Return Receipt for
❑Collect on Delivery Merchandise
I Delivery Restricted Delivery 0 Signature Confirmatlonn"
7 018 1830 0001 8037 1134 let ❑Signature Confirmation
all Restricted Delivery Restricted Delivery
I (over$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

USPS TRACKPIG#
Z7O First-Class Mail
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stage&Fees Paid
+I 4 L Permit No.G-10
9590 9402 1665 6053 7211 10 9,'. 2042 �
United States •Sender:Please print your name,address,(rp
P+4®in this box
Postal Service M�.
NCDEQ/DWR/NPDES
Attn: Wren Thedford
1617 Mail Service Center
Raleigh, NC 27699-1617
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