20050716 Ver 1_Certified Mail Receipt_20050513

SENDER: COMPLETE THIS SECTION PLE
^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ 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:
SSO, 1,LC
P.Q. BOX 728
Holly Springs,NC 27540
' DWQ# OS-0716 -Wake
A. Signature
X ~b~ _. .
B. Received by (Printed Name)( C. Dat f Del ~'
Br -S~3s°
D. Is delivery address different from item 1? ^^ Y
If YES, enter delivery address below: L~'No
3. ice Type
Certified Mail ^ ress Mail
Registered Retum Receipt fdr Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yeq
2. Article Number 705 ~39~ ~~01 4029 4103
Rtansfar ~ .
PS Form 3811, February 2004 'nPti~ .. Return Receipt tozsssoz-M-tsao

UNITED STATES POSTAL SERVICE
iuiii
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage 8 Fees Paid
USPS
Permit No. G-1U
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