20171527 Ver 1_Certified Return Receipt_20190923

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Certified Fee
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:3 Return Receipt Fee
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:3 (Endorsement Required)
ZI Restricted Delivery Fee
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Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
important Reminders:
■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fc
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof o
delivery. To obtain Return Receipt service, please complete and attach a Retun
Receipt (PS Form 3811) to the article and add applicable postage to cover thi
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver fo
a duplicate return receipt, a USPS® postmark on your Certified Mail receipt i;
required.
■ For an additional fee, delivery may be restricted to the addressee c
addressee's authorized agent. Advise the clerk or mark the mailpiece with th
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti
cle at the post office for postmarking. If a postmark on the Certified Ma
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047

■ 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.
1. Article Addressed to:
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2. Article Number
(Transfer from service fabef)
:IfR Fnrm 3811 _ Fahniary Pnn4
A.
X
Agent
eceived b1 P, ' d iffarr6) C. Date of Deliven
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D. Is delivery add ss difteren rom item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. ervice Type
LJQ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7013 3020 0000 7632 0123
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UNITED STATE�SVICE First -Class Mail
3 4 y.
Postage 8 Fees Paid
.� USPS
IF 111111 Permit No. G-10
• Send' r.' leak print your name, address, and ZIP+4 in this box •
DEQ/DIVISION
OF WATER RESOURCES
401 & BUFFER PERMITTING BRANCH
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
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