WQ0004823_NOV-2021-0525 GC_20210726

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USPS TRACKING #
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111
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9590 9402 6321 0296 8907 67
United States
Postal Service
270 II
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First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box•
NCDEQ- DIVISION OF WATER RESOURCES
WATER QUALITY REGIONAL OPERATIONS SECT ION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889

1,4 000
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WQ-v
SENDER: 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.
1. Article Addressed to:
COMPLETE THIS SECTION ON DELIVERY
A. Signal
X
Rolf Blizzard, Manager
Pine Island-Currituck, LLC
4400 Silas Creek Pkwy, Ste 302
Winston Salem, NC 27104-3217
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II III
1111
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III
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9590 9402 6321 0296 8907 67
2. Article Number (Transfer from services lahall
B. Receive d by j(Pn'lWed Name)
D. Is deliv�f jd�reess differ9 t from item 1 ? ❑ Yes
If YES, enter iirfaddress below: 0 No
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❑ Adult Sign rb�g , Chs
ID Adult Signature FiuEO' e�V
, ertified Mail® 8r
❑ Certified Mail Restricted De` I irl
o Collect on Delivery
❑ Collect on Delivery Restricted Delivery
ery
❑ Agent
0 Addressee
C. Date of Delivery
❑ Priority Mail Express®
❑ Registered Mail'.
❑ Registered Mail Restricted
Delivery
❑ Signature Confirmation
❑ Signature Confirmation
Restricted Delivery
PS Form 3811 , July 2020 PSN 7530-02-000-9053
Domestic Return Receipt