NC0089541_Returned Green Card NOD-2020-MV-0132_20201211

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5743 0003 1185 67
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4 in this box'
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
��rrrrlrriilriiJililuiffr.,�►�ifirrllr) iri,iirjrilir,rllif Irlifr

NCa o - MV' ©13 0U ITO?'�O
SENDER:DELIVERY
■ Complete items 1, 2, and 3.
A. Signature
❑ Agent
■ Print your name and address on the reverse
X /
so that we can return the card to you.
�✓'
❑ Addressee
B. Received by (Printed Name)
C. Date of Delivery
-�
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
-�
1. Article Addressed to:
D. Is deliv ddress different from
item 1? ❑ Yes
If YES, en very address
below: p No
/�cOFNyInty,(I
ster
ILew
AshtonMichae
Lewis Company
FC
95 Lewis Mill Rd
jj
Gatesville. NC 279383.
IIIIIIIII'lllll IIIII II I II III
�a�4�D
Mail p�mss©
OAdu
❑RegisteredrMailiority
9590 9402 5743 0003 1185 67
s ltSignatU elivery
Certified Mail® ror� eery
❑ Certified Mail Restricted Q e
O R istered Mail Restricted
Dees very
0 Return Receipt for
9 4rtirla Numher (Transfer from service label)
❑ Collect on Delivery CF
❑ Collect on Delivery Restricted Delivery
� �^cured
Merchandise
Signature ConfirmationTM
0 Signature Confirmation
7019 2970 0001 3140 0817
Mail
Restricted Delivery
Restricted Delivery
veufed oMe
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt