NCG551217_GrnCardsMultiple_20200602

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■ Complete Hems 1,2,and 3.Also complete A. Signature
Item 41f Restricted Delivery Is desired. X ❑Agent
. 9 Print your name and address on the reverse `❑Ado,....
so that we can return the card to YOU
B. ecelve Anted Name) • C. Oete of Oellvery
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I -Attachthis card to the back of the.mail IIeece,___ __ _y,Ly jK 2
7 ©� North Carolina Departments ssdlRaddress from item l? ❑ o
Eriyironmentand Natural Quality
slivery address below: Na
lN• 8lbisicn of Water Qualify
INC�ENR" Sudace��R8eeter Protection Section
2090 U.S.Highway 7 ,Sivannanca, NC 28778
';Jerry R. Cook Ice ripe
11,220 Kirk Way Hari Mall ❑erprees Mall
:Candler I$fiha 28715-9582 ❑Ra&tered
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7007 1490 0004 0798 9896-. MU
PS Form 3811,February 2004 Damestlo Return R6celpl- toassaaaMnaaa
■ a )eta Items 1,2,and 3. A._.SlgneWre '
North Carolina Department of Environmental Quality Uft4l1l,cw\ ❑Addressee
Division of Water Resources a ad by C. Oete of Delivery
Water Quality Regional Operations Section
2090 U.S.Highway 70 ell etltlresstllfferentfinen tte
Swannanoa,North Carolina 28778 8 enter 1.1N.ryaddrese bolo No
MAY - 6 2016
Jerry Ray Cook mull.
220 Kirk Way
Candler,NC 28715 /
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I PSIFMIM 38111,April 2015 PSN 7830-02-000-9059 At*g al -X -0 1 Domestic Return ReceliA

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IterRA(f•Rest4cte8 Debve" a tleslred Cl Agent
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7005 0390 0001 3552 9739 -'1 O\WU-20a(o' PC •OZO Z•,
PS Form 3811,February 2004 Domess,Return Receipt 10e59"914-1.
,�}late items 1.,Q anG.3.Also complete A. signature
.!if Res[flcted Delivery Is desired. X ant
�,.print,your name and atloress on}pe reverse dreenco
sothat We can return the card to you. D. Re al al by PMted Name) C. Date ofudl ery
'� Attach this cardto theback of the mailplece, � J/�
or on the front H apace permits.
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NICIDER
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'�.EDWARD HIPMAN I
Type
letl Mall f �
220 KIRK WAY tered Return Receipt for Merchentllse
'.C:ANDI_ER NC 2,517 d MM coo.
d DelNeryl Pda,Feel ❑Vas
z:-Arnde Number 4002 0460 0001 9899 1253
(6ensfer aervl�lebell a _.. I \\
P6 Form 3811,February 2004 Domastlo Return RBC61pf' topes: -N o