WQ0004823_LV-2020-0006 GC_20200123

WO o90 49T3
■ 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.
1. Article Addressed to:
Rolf Bliz -d, President Vice
Pine Islz •u-Currituck LLC
4400 Silo Creek Pkwy, Ste 302
Winston Salem, NC 27104
I II � I III IIIII� II IIIII I I I I I I
9590 9402 5158 9122 7676 61
2. Article Number (Transfer from service label)
rU18 1830 0000 9509 9024
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Signature
X l� ❑ Agent
❑ Addressee
B. Received by (P ted Name) C. ate of Delivery
1[1 2-
D. Is delivery address differej from item 1? U-Yes
If YES, enter delivery ad ess below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MaiIT"^
❑ Adult Signature Restricted Delivery
❑ Registered Mall Restricted
2Mertified Mail(D
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature Confirmation —
El Insured Mail
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
Domestic Return Receipt I

9590 9402 5158 9122 7676 61
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box*
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889