NCG551222_GrnCard_NOV2016PC0103_20200603

4
■ C ete items 1,2,and 3.Also complete A. azure �y
It if Restricted Delivery Is tlesired. X x tCl Agent.
• Print your name and address on the reverse 666 ❑Addressee
so that we can return the card to you. - ecelvetl by rytlnted Name) pat Dal
■ Aftach this card to the back of the mallpiece,
North Carolina Department of Environmental Quality D. Is delivery address different from item i7'Q Ye.
Division of Water Resources If YES,enter delivery address below: ❑No.
Water Quality Regional Operations Section
2090 US.Highway 70
Swannanca,North Carolina 28778
Jim Beck a,sp rvoe Type
297 Erwin Hills Road I WGerenen Mete ❑Priority Mail Express'"
iAsheVille, NQ_*N06 ❑Registered Return Receipt for Merchandise
Insured Mall 1-3 Collect on Delivery
Ill��lllgl_.. a ��Ilululilillll�'1InlIl�ll1l�ll 4. Rest(ictetl Delivery?(Extra Fee) ❑vas
�.. 7012 1010 0002 1965 5204 .] AI6V-.g01(0-Lo-- D 7 03
PS Form 3811,July 2013 : Domestic Return Receipt --