WQ0004823_NOV-2021-LV-0031 GC_20210126

i
i
USPS TRACKING #
C270
9590 9402 5743 0003 1183 45
�L
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
Iiiiii,ilii,ifi0i.l1li'iifill.11iilili-iili,ili�ifi�'i" I'fiiil

W14- DO
•
Z
v ZO
-LJ-oo3►
1120-s c W o- - ✓ �t
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 f,ront 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
IIIIIIII1IIIIII1 IIIII IIII I II IIII
9590 9402 5743 0003 1183 45
2. Article Number (Transfer from service label)
019 2970 0001 3140 1241
COMPLETE THIS SECTION ON DELIVERY
A. Signs re
1
X
B.'Received by (Printed Name)
1( tvii-0(4/w)
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 1? 0 Yes
If YESrter delivery address below: ❑ No
hI Lin/vr,
`AN26
3.
-Qj J�. ii wUc3/jh
0 Adu1f - •p: d�elivery
ertified a kop 333 S �),
❑ Certified Mail Restrittt4Y00
❑ Collect on Delivery Cp
❑ Collect on Delivery Restricted Delivery
❑ Insured Mail
❑ Insured Mail Restricted Delivery
(over $500)
0
❑ Priority Mail Express®
0 Registered Mail'.
❑ Registered Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
❑ Signature Confirmation
0 Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt