740021_Returned Green Card NOV-2020-PC-0483_20201222

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
2 L Permit No. G-10
9590 9402 5743 0003 1184 51
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
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■ 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:
Ephraigm Smith
7267 NC 43 S
Greenville, NC 278S8
111111111111111111111111111111111III I
9590 9402 5743 0003 1184 51
2. Article Number (Transfer from service label)
7019 2970 0001 3139 9777
A. Signature 1
j\�t'n\
x( S
❑ Agent
`,
r i
❑ Addressee
B. Received byed Name)
C. Date of Delivery
D. Is delivery address erent from item 17
❑ Yes
If YES, enter delive dress below:
❑ No
F °o
3. Servic '
❑ Priority Mail Expresso
❑ Adult Signat 'PO
❑ Registered Mail-
❑ Adult Signatur"N.ted Delivery
❑ Registered Mail Restricted
Ot.rtified WHO p !
Delivery
❑ Certified Mail RestRted Delivery
O Return Receipt for
❑ Collect on Delivery
Merchandise
ElCollect on Delivery Restricted Delivery
0 Signature ConfirmationTM
Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
1-- ;�snm
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt