310182_Return_20190909

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Certified Mail Fee t
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Posbrilark
M Certified Mail Restricted Delivery $
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Adult Signature Required $
Adult Signature Restricted DON" $
Postage
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09/09/2019
Ivey Timothy Nethercutt
1O68Dobson Chapel Rd.
| K4agno|m' NC28453

Certified Mail service provides the following benefits:
■ A receipt (this portion of the Certified Mail label).
for an electronic return receipt, see a retail
■ A unique identifier for your mailpiece.
associate for assistance. To receive a duplicate
■ Electronic verification of delivery or attempted
return receipt for no additional fee, present this
delivery.
USPS®-postmarked Certified Mail receipt to the
.afro aaorvi.fc
■ A record of delivery (including the reciplents
signature) that is retained by the Postal Service -
for a specified period.
Important Reminders.,
■ You may purchase Certified Mail service with
First -Class Mail*, First -Class Package Service®,
or Priority Mail® service.
■ Certified Mail service is notavailable for
International mail.
■ Insurance coverage Is notavailable for purchase
with Certified Mail service. However, the purchase
of Certified Mail service does not change the
insurance coverage automatically included with
certain Priority Mail items.
■ For an additional fee, and with a proper
endorsement on the mailplece, you may request
the following services:
- Return receipt service, which provides a record
of delivery (Including the recipient's signature).
You can request a hardcopy return receipt or an
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
Receipt; attach PS Form 3811 to your mailpiece;
Restricted delivery service, which provides
delivery to the addressee specified by name, or
to the addressee's authorized agent
Adult signature service, which requires the
signee to be at least 21 years of age (not
available at retail).
Adult signature restricted delivery service, which
requires the signee to be at least 21 years of age
and provides delivery to the addressee specked
by name, or to the addressee's authorized agent
(not available at retail).
■ To ensure that your Certified Mail receipt Is
accepted as legal proof of mailing, it should bear a
USPS postmark If you would like a postmark on
this Certified Mail receipt, please present your
Certified Mail item at a Post office' for
postmarking. If you don't need a postmark on this
Certified Mall receipt, detach the barcoded portion
of this label, affix It to the mailpiece, apply
appropriate postage, and deposit the mailpiece.
IMPORTANT: Save this receipt for your records.
PS Form 3800, APHI 2015 (Reverse) PSN 7530-02-00MG47

■ Complete items 1, 2, and 3. A. Signature
■ Print your name and address on the reverse X d
so that we can return the card to you.
■ Attach this card to the back of the mailpiece, B. RdgQved
or on the front if space permits.
1, Artirla Aririr .—P.rl tn-
Ivey Timothy Nethercutt
1068 Dobson Chapel Rd.
Magnolia, NC 28453
11111111111111111111111111 IN II IIIIII) II IIII
9590 9402 3727 7335 2360 04
2. Article Number (Transfer from service label)
7018 1830 0000 9509 8201
to Agent
Jll ' ❑ Addre
by (Phrite Name) C. Date 9f Del
jiFn G) 1 1 �'/ L
D. Is delivery address diff€ir Item 17 U Ye!
If YES, enter delivery addre ❑ No
SFP 16 20
are,. 19
byas �,oera fUaiitYA,.
3. Service Type H�9i �Lt�p�'`(�j priority Mail Express®
❑ Adult Signature C/? ❑ Registered MailTM
❑ It Signature Restricted Delivery O#/4 Registered Mail Restricted
iaCertified Mail® Delivery
❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmationm
❑ Insured Mail ❑ Signature Confirmation
❑ Insured Mail Restricted Delivery Restricted Delivery
(over $5001
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 3727 7335 2360 04
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*
NCDEQ
DIVISION OF WATER RESOURCES
WADER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MAIL
WASHINGTON, NC 27889
III III !!il'Ill!"iiJliI !III Ifii11llii,i11Jill Jill II