NC0020443_Returned Green Card NOV-2020-LV-0519_20200714

First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5743 0003 1251 76
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889

C OC 4-Zo 0 3 fA I- 202�zt - L v !0.5/ i W 0- - rL
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Tc
PO Box <61
Columbia, NC 27925-0361
111111111111111111111111111111111111111111111 IT III
9590 9402 5743 0003 1251 76
2. Article Number (Transfer from service label)
7019 2970 0001 3139 9470
B. Dived by
❑ Agent
❑ Addressee
ate of Delivery
D. Is dblivery addreS nt from item 1? U Y5;
If YES, enter delivery s below: ❑ No
3. Service Ty r7
�/� r0� %
O Priority Mail Expresso
❑ Adult Signature
❑ Registered Mail -
El Adult Signature Restric It ❑ Registered Mail Restricted
&'Certified Mail O ��dl��7i, Delivery
❑ Certified Mail Restricted Delivery �Tr,. b Return Receipt for
❑ Collect on Delivery `
Merchandise
❑ Collect on Delivery Restricted Delivery
El Signature Confirmation'"
rl Insured Mail
❑ Signature Confirmation
I Insured Mail Restricted Delivery
1--r asnm
Restricted Delivery
I. PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt