WQ0004823_NOV-2018-LV-0820 GC_20181228

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usPAATI.C191491ti5
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9590 9402 3727 7335 2385 89
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIPW in this box•
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
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SENDER: COMPLETE THIS SECTION
■ Complete items 1, 2, and 3.
11 • 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, President Vice
Pine Island-Curriturk LLC
4400 Silas Creek Pkwy
Ste 302
Winston Salem, NC 27104
11
1
III
1111
II
11111
1
111
111
9590 9402 3727 7335 2385 89
O 4.firlc NI Imhof. (Transfer from service label)
7017 3380 0001 0998 7250 Ste.
PS Form 3811, July 2015 PSN 7530-02-000-9053
COMPLETE THIS SECTION ON DELIVERY
A. Signature
a
3inceived by (Prrped; Name)
❑ Agent
❑ Addressee
C.
2 ..4 Relivgry
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address belQyy; ❑ No
wR
DEC 28 Zara
Water
3. Service Type • D.-, ❑
El Adult Signature r 7# 0
❑ A__d,_.glt Signature Restricted Delivery ^p
Certified Mail®
❑ Certified Mail Restricted Delivery ❑
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery ❑
7 Insured Mail 0
Insured Mail Restricted Delivery
(over $500)
Priority Mail Express®
Registered Mail'.
Registered Mail Restricted
Delivery
Return Receipt for
Merchandise
Signature Confirmation*M
Signature Confirmation
Restricted Delivery
Domestic Return Receipt