WQ0004823_NOV-2021-LV-0526 GC_20210726

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9590 9402 6321 0296 8907 50
United States
Postal Service
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 SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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SENDER: COMPLETE THIS SECTION
• Complete item't,.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:
Rolf Blizzard, Manager
Pine Island-Currituck, LLC
4400 Silas Creek Pkwy, Ste 302
Winston Salem, NC 27104-3217
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9590 9402 6321 0296 8907 50
2. Article Number (Transfer from service label)
00- - tit!
COMPLETE THIS SECTION ON DELIVERY
A. Signature
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B „,$ecew
D. Is deliv
If YES, enter de
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2,
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3. Serviyygqg�tjonS
❑ Adult Siggnature Rea r
❑ Adult Signature Rest ��1j
•'Certified Mail® Cf
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
ured Mail
ured Mail Restricted Delivery
er $500)
7020 1810 0001 5981 0726
by (Print d Name)
diffbrent from item 1? ❑ Yes
Address below: ❑ No
FMB/-w/,
❑ Agent
❑ Addressee
C. Date of Delivery
❑ Priority Mail Express@
❑ Registered Mai."
❑ Registered Mail Restricted
Delivery
❑ Signature Confirmation"'
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt