WQ0004823_LV-2020-0005 GC_20200116

UT
111111111miN.111
9590 9402 5158 9122 7689 03
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
Please print your name, address, and ZIP+4® in this box•
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889

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■ Complete items 1, 2, and 3.
A. sign re .
■ Print your name and address on'the reverse
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so that we can return the card to you.
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■I Addressee
dre
B• eceived by (Pr ame)
C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
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1. Article Addressed to:
D. Is delivery address different
item 1? ❑ s
If YES, ente AdUvery address
o
Rolf Blizzard, President Vice
Pine Island-Currituck, LLC
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Shi o LO jai
4400 Silas Creek Pkwy
�92 q",
Ste 302
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9/Sri
Winston Salem, NC 27104
3. Service Type
❑ Priority Mail Express®
ult Signature
Adu
0 istered MaJITm
III I I I I I I I I I I I I I I II I I I
1111111111111 I I 111111111111111111111111111111
❑ ft Signature Restricted Delivery
❑ Re�glatered Mall Restricted
erdifled Mall®
De very
9590 9402 5158 9122 7689 03
❑ Certified Mall Restricted Delivery
❑ PAM "Receipt for
Merchandise
9. Article Niimher !Transfer from service label)
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTm
❑ Signature Confinnation
7 018 1830 0000 9509 9 017
3 Insured Mail
7 Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
PS Form 38111 July 2015 PSN 7530-02-000-9053
Domestic Return Receipt