WQCS00084_DV-2021-0097 GC_20210630

• ENDER: 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.
I. Article Addressed to:
Fn Fatland
:ity of Brevard
)5 W Main St
3revard, NC 28712
NoV - WQCS00084
DV-2021-0097 - TRANS
11111111111111111111111111111111111111111111
9590 9402 6652 1060 4055 73
COMPLETE THIS SECTION ON DELIVERY
A. Signature
Xpik� gent
B. Recei d by (Printe Name)
❑ Address&
C. Date of D iver.
D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: Q,NtS
> Artirtie Number (Transfer from service label)
?019 0700 0000 8867 5046
3. Service Type ❑ Priority Mail Express®
❑ Adult Signature D Registered Mail'.
Adult Signature Restricted Delivery 0 Registered Mail Restrict
Certified Mail® Detivery
O Certified Mail Restricted Delivery ❑ Signature Confirmation'
❑ Collect on Delivery ❑ Signature Confirmation
0 Collect on Delivery Restricted Delivery Restricted Delivery
O Insured Mail
❑ Insured Mail Restricted Delivery
(over $500)
'S Form 3811, July 2020 PSN 753D-02-000-9053
Domestic Return Receipt

USPS TRACKING #
52 1060 4055 73
;r<
. O • Sender: Please
o
F .DEQ
cc Er
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
print your name, address, and ZIP+4® in this box*
NC Dept of Environmental Quality
WR-WQROS
Asheville Regional Office
2090 US 70 Highway
Swannanoa, North Carolina 28778-8211