WQ0015052_Return_20190609

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Certified Mail Fee
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sturn Receipt (hardcopy) $ $((00
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❑ Return Receipt (electronic) $ Q r�rr r�- 9
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❑ Certified Mail Restricted Delivery $ —
❑ Adult Signature Required $
❑ Adult Signature Restricted Delivery $
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s6 Enviro-Tech of North Carolina Inc.
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� PO Box 92 Cln .--
�` Harbinger, NC 27941

Certified Mail service provides the following benefits:
■ A receipt (this portion of the Certified Mail Isbell. for an electronic return receipt, s6 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. USPSO-postmarked Certified Mail receipt to the
■ A record of delivery (including the recipient's
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 Mall service is not available for
intemational 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 mailpiece, 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;
retail associate.
Restricted delivery service, which provides
delivery to the addressee specified by name, or
to the addressee's authodzed 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 specified
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 Mail 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 record•.

■ 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,
for on the front if space permits.
j i Artirla Aririracgeri tn•
William Galen ;reed
Er)v'-c-Tech of North Carolina Inc.
PO Sox 92
fHa;binger, NC 27941
I I II I I III IIII II ( III I I I II I III
9590 9402 4208 8121 0772 73
1 2. Article Number (Transfer from service label)
7018 2290 0001 8043 7361
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Signature
X � Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
C i
D. Is delivery address different from diem 1 T ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Express®
❑ Adult Signature
❑ Registered MailTI
e❑ B,dult Signature Restricted Delivery
17 Registered Mail Restricted
Certified MailO
Delivery
O Certified Mall Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
O Signature Confirmation-
n Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
Restricted Delivery
(over$500)
Domestic Return Receipt

USPSTRACKNG First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 4208'8121 0772 73
United States • Sender: Please print your name, address, and ZIP+4® in this box•
Postal Service
NCCEQ
DNIISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
94?, WASHINGTON SQUARE MALL
xhIASHINGTON, NC 27889
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