20011896 Ver 2_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.
1. Article Addressed to:
CB Development Company Co.
Attn: Jimmy Chrysson
1045 Burke Street
Winston Salem,NC 27101
DWQ# 01-1896-v2-Mecklenburg
A Signature
~ ,Agent
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X ,~ l ~~-.-'1 v~ ~v{ ` ^ Addressee
B. Received by ( 'fed Name) ;C. to of Delivery
D. Is deliv~address different from~item 1? ^ Yes
If YES, enter delivery address.btlow: ~No
-- - - - - -
3. Service Type -
Certified Mail ^ F~cpress Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D. _
4. Restricted Delivery? (Extra Fee) ^ Yps
2. ArticleWumber 7pQ7 X710 ppp2 1579 1,207
(riansfer from service l ~
PS Form 3811, February 2004 Domestic Retum Receipt .~ fo2ss5-o2-n4-t5ao

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UNITED .~3~~F~~'_~(~~fi~v~''ER~~i z, r f,. '+,.. -,.,.~. _ a,i
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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