WQ0004823_LV-2020-0003 GC_20200116

u->� First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5158 9122 7686 06
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889

Lam' so Zo — "'0
■ Complete items 1, 2, and 3.
■ 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:
Rolf Blizzard, President Vice
Pine Island-Currituck, LLC
4400 Silas Creek Pkwy
Ste 302
Winston Salem, NC 27104
11111111111111111111111111111111111111111111111111
9590 9402 5158 9122 7686 06
2. Article Number (transfer from service label)
7018 0360 0001 9842 8508
A. Sign ture
X �ZLI ��i�6�v Adr
B. Receivgtyt 'Printed Name) C. Date of t
514CRCC- tZj (An t S
D. Is delivery address di item 1? ❑
If YES, enter delivery addr R No
J4N 16
h'at'er
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3. Service Type ""'�3i "tom
❑ Priority Mail Express®
❑ Adult Signature "rr/�
❑Registered MaIIT"
❑ Adult Signature Restricted Delivery
d
❑ ROeolatared Mall Restricted
• CwW Mall Restricted Delivery
❑ Return RReosipt for
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Signature Confirmation TM
I Insured Mall
❑ Signature Confirmation
] Insured Mail Restricted Delivery
Restricted Delivery
_ (over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt