20140643 Ver 1_Certified Return Receipt_20180320

FFICIAL USE
Postage
Ceffied Fee Ir
Return Receipt Fee
Postmark
Here
(Endorsement Required)
Restricted livery Fee
(Endorsement
Total Postage & Fees
$
Sent To-
-----------------------------------
Nirwji Apt. No.
or PO Box a
No. P x L
-------------------------------- — --------------------- I -------------------------------
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,entified Mail Provides:
r A mailing receipt
A unique Identifier for your mailpiece
A record of delivery kept by the Postal Service for two years
mportent Reminders:
P Certified Mail may ONLY be combined with First -Class Mails, or Priority Maib
P Certified Mail is not available for any class of international mail.
i NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo
valuables, please consider Insured or Registered Mail. provide
r Foran additional fee, r Return Receipt mplease
y� complet de and atttaa proof
delivery. To obtain Return Receipt service I
Receipt (PS Form 38111 to the article and add applicable postage to cover the
fee. Endorse mailpiece Return Receipt Requested'. To receive a fee waiver for
a duplicate return receipt, a USPS® postmark on your Certified Mail receipt Is
required.
I For an additional fee, delivery may be restricted to the addressee of
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement 'Restricted Delivery'.
r If a postmark on the Certified Mail receipt Is desired, please present the arti•
cleat the post office for postmarking. If a postmark on the Certified Mai
receipt is not needed, detach and affix label with postage and mail.
MPORTANT. Save this receipt and present it when making an Inquiry.
IS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047

■ -Complete items 1, 2, and 3. Also complete
A. Sig re
Item 4 If Restricted Delivery is desired.
■ Print your name and address on the reverse
Addressal
so that we can return the card to you.
B. by
C. Date of Deliverl
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from i
m 1? ❑ i1ei
1. Article Addressed to:
If YES, enter delivery address b
ow: ❑ No
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A Certified Mail ❑ yr s
❑ Registered
❑ Insured Mali
4. Restricted DeldrepR
ry
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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
DEQ/DIVISION OF WATER RESOURCES
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401 & BUFFER PERMITTING BRANCH
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1617 MAIL SERVICE CENTER
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RALEIGH, NC 27699-1617
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