WQCSD0571_Returned Green Card NOV-2021-DV-0074_20210204

USPS TRACKING #
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:
9590 9402'6121 0296 8914 98
1111
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4J in this box*
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALI_
WASHINGTON, NC 27889
/11111111/P1111J111l111/14J1,11111111in 1111J111111/1'1J1/h1

4J Sp0xi
• Completajte ,vaii
• Print your,ame d addr
so that we can re urn the ad
Nov-2nz1- rr -oo19
1 4i
revers
u.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Pauline B Savage
Town of Everetts
PO Box 12Y
Everetts, NC 27825
iiu
II III
1111
I II
III
1
III
III
9590 9402 6321 0296 8914 98
2. Article Number (Transfer from service label)
Orin ,ST
COMPLETE THIS SECTION ON DELIVERY
B. I4eceived bj (Printed Name)
❑ Agent
❑ Addressee
C. Date,of Delivery
A/J/y.. -0lie
D. Is deli ry address different from item 1? 0 Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
JR Certified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
isured Mail
isured Mail Restricted Delivery
)ver $500)
7019 2970 0001 3140 1623
O Priority Mail Express®
❑ Registered MailT"
❑ Registered Mail Restricted
Delivery
❑ Signature Confirmation.'"
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt