20060010 Ver 1_Certified Return Receipt_20060109

^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ 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.
Article Addressed to:
A. Signature
X ^ Agent
~~~~" ^ Addressee
B. R celved ~ (Printed Name) C. Date of Delivery
D. Is delivery address different from item 17 D Yes
If YES, enter delivery address below: ^ No
Mr. Paul Thames-Orange County
Engineer Government Services BLG
200 S. Cameron Street
Hillsborough,NC 27278
DWQ# 06-0010-Franklin
3. Service Type
Certified Mail ^ Express Mail
Registered ~ Retum Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. ResMcted Delivery? (Extra Fee) ^ Yes
2. Article Number
(transfer from service dab - 7 p 0 5 116 D 0 0 ~ ~ 9 9 5 4 8 3 9 3
PS Form 3811, Februa e c etum Receipt toa~ss-oz-M-~sao

UNITED STATE~~~~YA~~~~E ~ ~~"~`~ ~"'
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversibht/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleibh, NC 27604
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