WQ0002829_LV-2019-0226 GC_20191021

■ Complete items 1, 2, and 3. 11 A.
■ Print your name and address on the reverse rB�
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.
t:+isar7.� d x.,��°rc�rrcFa
Kf'tltWWIP «ft
114: li I ;6'-'1�
K i 11 ?ff_�.?I I plc. \C 7
I II I I III IIII II I I III I I III I I I
9590 9402 4' 08 8121 0772 42
2. Article Number (Transfer from service label)
7019 0160 0000 3479 9114
D. Is delivery addr ss different fronY4
If YES, enter d099iveaddress be
`(yy cg9
ce
tin _
❑ Agent
❑ Addressee
C.
/0 - of Delivery
!I/17
1? 0 Yes
/l
❑ No
I.Service Type 'fJl�,
❑ Priority Mail Express@
0 Adult Signature E
❑ Registered MallTM
❑ Adult Signature Restricted Delivery
O Registered Mail Restricted
R<ertified Mail®
Delivery
❑ Certified Mail Restricted Delivery
O Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature Confirmation —
Insured Mall
❑ Signature Confirmation
Insured Mail Restricted Delivery
1-- asnrn
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

U§0~ # First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 4208 8121 0772 42
United @ a es • Sender: Please print your name, address, and ZIP+4® in this box•
Postal Service
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
jiiljliriiillll,j-illliiliililii}l,i 1hiphIli IIIi lil'P1'1I°f