520013_Returned Green Card NOV-2021-DV-0001_20210119

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USPS TRACKING #
9590 9402 5743 0003 1181 54
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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- 13 uo'J• 7-°1--1 DV- tot
SENDER: COMPLETE 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:
DC Mills Farm Inc.
1764 Lynman Road
Cl-ir4qt3ri.pin, NC 28521
II
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111111
11111
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9590 9402 5743 0003 1181 54
2. Article Number (Transfer from service label)
7019 2970 0001 3139 9760
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Signature
X
Received by (Prinme)
COMPLETE THIS SECTION ON DELIVERY
put -A C-- rn,<<s
Agent
❑ Addressee
livery
711
D. Is delive different from item 1?
If YES, enter d,eyi�ress below: ❑ No
AIV 92021
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O Adult SignaturaVOr)r °Ctipr
O Adult Signature Restrittedhj6Kery
Certified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
isured Mail
isured Mail Restricted Delivery
ever $500)
e
❑ Priority Mail Express®
0 Registered Mail
❑ Registered Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
❑ Signature Confirmation,M
❑ Signature Confirmation
Restricted Delivery
3
Domestic Return Receipt