310350_SHERIFF DELIVERY NOV-2020-PC-0004_20200309

DocuSign Envelope ID: E5E15D34-2537-439C-B3E8-FF2139CE5CC8
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
March 9, 2020
EST TO SHERIFF TO SERVE DOCUMENT
Duplin County Sheriff's Department
112 West Hill Street
Kenansville, NC 28349
RE: Service of Document upon Ms. Grace Knowles
Dear Sheriff:
This Department has been unable to serve the enclosed document upon Ms. Grace Knowles. The official
document is attached to the original and one copy of the Notice of Service. A check for $30.00 is also
enclosed.
The address for Ms. Grace Knowles is:
116 West Clement Street
Wallace, NC 28466
Please return the original of the completed Notice of Service with a copy of the Document and a receipt
for the $30.00 fee to me as soon as possible. If you have any questions or problems, you can contact me
at the letterhead address or by phone at [phone].
Thank you very much for your cooperation in this matter.
Sincerely,
DocuSigned by:
�cOA,
7F141 E73B6F3456,..
Tom Tharrington, Assistant Regional Supervisor
Water Quality Regional Operations Section
Wilmington Regional Office, DEQ
cc: WiRO
D E Q�� North Carolina Department of Environmental Quality I Division of Water Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
m )ry rN cxl4o:. i
o.�ro�em or E�.w����w�:r� /� 910.796.7215

DocuSign Envelope ID: E5E15D34-2537-439C-B3E8-FF2139CE5CC8
STATE OF NORTH CAROLINA
COUNTY OF DUPLIN
IN THE MATTER OF NOTICE OF DEFICIENCY
15 A NCAC 2T .1300
TO: Duplin County Sheriff's Department:
NOTICE OF SERVICE
YOU ARE HEREBY REQUESTED to serve the attached documents in the above entitled action to the
individual listed below:
Ms. Grace Knowles
116 West Clement Street
Wallace, NC 28466
This the 9th day of March , 2020.
BY:
EDoSigned by:
T-,'�'l
o6F34567FE73B6F3456...
Tom Tharrington, Assistant Regional Supervisor
Water Quality Regional Operations Section
Wilmington Regional Office, DEQ
127 Cardinal Drive Extension
Wilmington, NC 28405
[phone]

DocuSign Envelope ID: E5E15D34-2537-439C-B3E8-FF2139CE5CC8
RETURN OF SERVICE
I certify that this NOTICE OF SERVICE was received on the
with the document(s) was served as follows:
Date Served:
Designated Recipient: Ms. Grace Knowles
Mears Branch Farm
NOV-2020-PC-0004
Place of Service:
(Fill in address where copy delivered)
92
(Serving Officer)
Check one of the following:
By personally delivering copies to the named individual
day of , 2020 and together
By leaving copies of the Notice of Service and original letter at the named
individual's dwelling, house or place of business with a person of suitable age and
discretion then residing therein.
Name the person with whom the copies were left:
If not served on the named individual, state reason:
Duplin County Sheriff
(Sheriff Signature)
Service Fee Paid 30.00 Paid By: NC DEQ-DWR
(Date)

DocuSign Envelope ID: E5E15D34-2537-439C-B3E8-FF2139CE5CC8
Please return this form to:
Chad Coburn
Division of Water Resources
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405

Docu5�".
6 S E C U R E 6
Certificate Of Completion
Envelope Id: E5El5D342537439CB3E8FF2139CE5CC8 Status: Completed
Subject: Please DocuSign: SHERIFF DELIVERY NOV-2020-PC-0004.docx
Source Envelope:
Document Pages: 4 Signatures: 2 Envelope Originator:
Certificate Pages: 1 Initials: 0 Chad Coburn
AutoNav: Enabled 217 W. Jones Street
Envelopeld Stamping: Enabled Raleigh, NC 27699
Time Zone: (UTC-08:00) Pacific Time (US & Canada) [e-mail]
I Address: 149.168.204.10
Record Tracking
Status: Original Holder: Chad Coburn Location: DocuSign
3/9/2020 8:05:55 AM [e-mail]
Signer Events Signature Timestamp
DouSigned by:
Tom Tharrington ET111'41E73B6F3456
Sent: 3/9/2020 8:06:28 AM
oµna,[e-mail] "� Viewed: 3/9/2020 8:13:06 AM
North Carolina Department of Environmental Quality Signed: 3/9/2020 8:19:35 AM
Security Level: Email, Account Authentication Freeform Signing
(None) Signature Adoption: Pre -selected Style
Using IP Address: 149.168.204.10
Electronic Record and Signature Disclosure:
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