20070869 Ver 1_Certified Return Receipt_20070525

^ 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:
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B. Received by Printed Name) v C.
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D. Is delivery address different from item 1'
If YES, enter delivery address below:
^ Agent
^ Addressee
~e of Delivery
'1J' ~a'1
^ Yes
^ No
Francis U. Paige Jr.
303 Signal Tree Lane
Deep Gap,NC 28618 3. Service Type
DWQ# 07-0869-Watauga ~ certified Mail ^ F~cpress Matl
')] Registered Retum Receipt for Merchandise
^ Insured Maii C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Y~
2. Article Number
(Transfer/romserv/c~ 7~~7 4710 0002 1579 1177
PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540

UNITED STATES POSTALiy SERVICE t
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• Sender: Please print your name, address, and ZIP+4`in'~this box • ~"
NC DENR Division of Water Quality
40l OversighUExpress Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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