WQ0004823_NOV-2021-LV-0032 GC_20210126

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USPS TRACKING #
' " 11 11 C 270 11
9590 9402 5743 0003 1183 52
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4'd in this box'
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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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:
Rolf Blizzard, Manager
Pine Island-Currituck LLC
4400 Silas Creek Pkwy Ste 302
Winston Salem, NC 27104-3217
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111111
11111
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9590 9402 5743 0003 1183 52
2. Article Number (Transfer from service label)
7019 2970 0001 3140 1234
PS Form 3811, July 2015 PSN 7530-02-000-9053
COMPLETE THIS SECTION ON DELIVERY
A. Signatu
X
❑ Agent
❑ Addressee
B. ifecely Fb (Printed Name)
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D. Is delivery address different f 1? 0 Yes
If YES, enter delivery address below: ❑ No
JAN2s2071
R�'9IOrl i r, duart:
vvaShlni On e. t`ons S.
3. Service Type 0 CeD Priority Mail Express®
❑ Adult Signature
❑ Adult Signature Restricted Delivery
edified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Insured Mail
Insured Mail Restricted Delivery
(over $500)
C. Date of Delivery
❑ Registered Mail."
❑ Registered Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
❑ Signature Confirmation,.
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt