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NCG550412_GrnCard_NOD2016PC0405_20200521
• Complete Items 1.2e.and a.. ture A. signa 0 Agent Nmtfi°cafollnz Def,Anrent gf Environmental Quality ❑Md..... omsibn 6f Water Resources elvetl by rynntetl Neme) C. Oate of DaMery Water Duality Reglenal:Operations Section 2090 U.S. Highway 70 Swannanoa,North Carolina 25778 e111 addmea different from Item 17 ❑Yes enter delivery acidness below: ❑No Ronal - ilchen 2049 r ed Ct Glen in VA 23059 u h_yla., :Illlllld II II llllldllllllliullllh�q!hllllllllulllull I, III�II'I III II II II'lllllllllll 11111 O�NNS9eew ea HasttictutDalvary ORgflalereed den Rea�metl cenmea Mall® treey 8590 8403 0872 5196 8550 02 Caalflatl MWIRael@tea Vi Racelpt im ❑Collect on pill /�VyemM1entllae labe0 OCOIIeMan Oellvery peatirl Deli D SIgnNure Conllrmellon^^ 7015 1520 0003 5463 0691 ifleeelnletl parvery �Aag" oelNtlmy°on PS F.rm 3611,Apr11201 5 17530-02-000-9053 NO (0.?C-0 OS Domestic Return Recelp[ - North Carolina Department of Environmental Duality Mature r Division of Water Resources Water Quality Operations Section 1 (/Y✓I / ❑Agent Ag Addresses 2090U.S.Highway70-- .eia by(Ponted C.Date of palive Swannanoa,NO 28778 ry —G t , eIN ,piAbntfmmit 19 IYes Ronalc• 1 etldress below Kitc ak Road a�a� ❑No 144 WFfite Oak Road .-� ltre Waynesville, NC 28785 \ 011 I_II�ILIIIlILIIJIn'I'llllllllll'lll!'II'llillh�4llllIIJIIII; OCZ at4\off .II" II I1 'I I'I \ 3 ServICBT \OP /e LIIIItII I.IIIIIIII IIIIIIII�Ifl�lllUll�Il AtlailSlgne ra`g\ICI�RC�\p�1 i���m RreE MalP�ee'D 9590 9403 0672 5196 9544 87 al°�"gIRKre2Y'sd�lnreyoRplemree mallflaatrlmetll NIIeEMell 4�i',amd pall /�Po' INary vM' Re,yrel�m Raeelpikr ""� /mm mrv/na yball ❑C Io[on CelNery geah;oktl pallrery O6M1g wu c NmeHon^^7015 1520 0003 5463 1148 °'I ❑Sig t c ogmiauen _._111 Rinsr etl pNlvery flesVl Rtlp lNery-:- Form 35'I'I,April ZU16 PSN 7530-02.000-9053 MO �'r�-bl lO-hG-OUO romeaNc Return gecalpt ;� rrril �N J I I I I N r � V a�fil ni q n ; II \a t\V ll 11 IIA ILI � �J1WfY h' Q C1'.5.� In - z' I ar aI-ire I' U ou.msoi two Illna y y 910a C a 100 0A� W l � tlWpyy3321 fPG VYAY i ad 1 � ul o M1 ' M4 c C N6 (cyFIZJ N ! 2 ! » } a ® \ ! ( $ , } LU § / _ j CA / @ / ƒ ) © } \ - , ! c /\ ^ a [ . !\ � \ !\\ k° o . ¢ � y . . S / \ \ !/ P El 111 c ;� I1 �0 l I, i i � �I r , cam, - ,. wv- z ���,�� �� e k 1Q�-ks , r, zs- i� n� as���sc <�� a_S_ l �' i