NC0059536_Other Agency Documents (LV-2022-0172)_20220929

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse ❑Agent
so that we can return the card to you. X\ �� 0 Addressee
• Attach this card to the back of the mailpiece, �&sseived y(Printed Na e) C. Date of Delivery
or on the front if space permits. ^I S' _`�� fl C- ?- :� 747,2-
D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No
Hilltop Living Center
Attn: Tisha T. Tuttle
1025 Lamb Road
Lexington,NC 27295
I I III II I II I I i II I I II I I III 3. Service Type ❑Priority Mail Express®
ElAdult Signature ❑Registered Mail*"'
O Adult Signature Restricted Delivery ❑Registered Mail Restricted
❑Certified Mail® Delivery
9590 9402 6134 0209 3838 25 o Certified Mail Restricted Delivery 0 Return Receipt for
❑Collect on Delivery Merchandise
- - • • • 'i'^"-^"^n Delivery Restricted Delivery ❑Signature Confirmation•""
7019 1120 0001 4877 5 416 lail El
RestrictedConfirmation
lail Restricted Delivery Delivery
(over yrow)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

USPS TRACKING#
144:L7° 11111i
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 6134 0209 3838 25
United States • 1®in this box•
Postal Service NCDEQ/DWR/NPDES
Attn: Wren Thedford
1617 Mail Service Center
Raleigh,NC 27699-1617
Ili 11„ 1111111W01 II 1fliillr" 14101111111lini