HomeMy WebLinkAboutWQ0004823_NOV-2020-LV-0887 GC_20210105NpJ -202soT
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SENDER: COV';'LETE THIS SECTION
• 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:
Rolf Blizzard, Manager
Pine Island- Currituck, LLC
4400 Silas Creek Pkwy, Ste 302
Winston Salem, NC 27104-3217
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9590 9402 5743 0003 1189 70
I o n.ti,-IP M imhar (Transfer from service label)
7019 2970 0001 3140 0312
COMPLETE THIS SECTION ON DELIVERY
A. Signature
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B. Rec
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D. Is delivery address different
If YES, eteer,delivery address
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3. Service Type��!
C Adult Signature �cF
❑ Adult Signature Restricted Delivery
Certified Mail®
0 Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
r1 Insured Mail
I Insured Mail Restricted Delivery
(over $500)
•+
Agent
❑ Addressee
■
C. Date pf live`ry
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❑ Priority Mail Express®
❑ Registered MaiITM
❑ Registered Mail Restricted
Delivery
0 Return Receipt for
Merchandise
❑ Signature Confirmations"
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
1 o00'1 23
Domestic Return Receipt
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9590 9402 5743 0003 1189 70
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• 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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