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>mplete Items 1,2,and 3.Also complete A. Signature _
:m 4 if Restricted Delivery is desired. ❑Addrrt
int your name and address on the reverse L ❑ dressee
,that we can return the card to you. Vl ��j(PAnted Name) C. D to of Delivery
tech this card to the back of the mailplece, 2 � ��R J3
North Carolina Department of +different from Item 1 11 Yes
- Environment and NaturahR2sources eery address below: ❑Nc
' Division of Water Quality
�� Surface Water Protection Section
CDENR 2090 U.S. Highway 70,Swannanoa, NC 28778
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,RRY F & MARY E URNER, OWNER s. sery eType
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4. Restricted Delivery?(Extra Fee) ❑Yes
7007 1490 0004 0798 7636 A01-,; GV) 1
'orm 3811,February 2004 Domestic Return Receipt 10259e-02-M-15401