20070693 Ver 1_Certified Return Receipt_20070524

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^ 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:
A. Signature /yam
X ! 7 ^ Agent
~1~ ~hr~ ^ Addressee
B.~ q~eived by Pnnty me) C. Date of D livery
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D. Is deli~ry address different from item 1 ~ ^ Y~
If YES, enter delivery address below: ^ No
Mr. Wayne Brown
977 Newfound Road
Leicester,NC 28748 erviceType
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DWQ# 07-0693-Buncombe ,,,
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~,~+ certified Mail ^ Express Mail
~] Registered Retum Receipt for Merchandise
~^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Y~
2. Article Number 7 p p 7 p 71 ~
(riansfer from service labelr a o 0 2 15 7 9 115 3 -~,

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PS Form 3811, February 2004 Domestic Retum Receipt ---
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to2es5-o2-M-t5aa

UNITED STATES POSTAL SERVICE
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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 L1nit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage 8 Fees Paid
USPS
Permit No. G-10
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