WQ0014306_Certified Return Card - Tracking 7020 1810 0001 5981 1686_20210818

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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.
1. Artie Addressed to: _ _ ---
'Raym,ond Gottlieb
Sandler Utilities at'Mill Run
448 Viking',Dr,Suite:ZOO
Virginia Beat.; +r, VA 23452-733.1
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111111111111
1 II III1I
III I1 I M IIII I I
9590 9402 6321 0296 8906 75
COMPLETETHIS SECTION ON DELIVERY
A. Sign
X (L.
❑ Agent
❑ Addresse
2. Article_Number.(Transfer from service label)
181,0 ;00;g1 5981 1168
•
be c . 4A11 oem t7en nn'nnn'nnc�
by (Prired Name) C. Date of Deliver
RC NEDJ ICDENR/DWFi 1 Cc / 0 -j
D. Is delivery a ress different from item 1? ❑ Yes
If YES, enter delivery address below: 0 No
AUG 18 2021
Water Quality
Regional Operations Slotion
3. Service TIW "IlnylulI Ray
❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Certified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
0 Collect on Delivery Restricted Delivery
6
ill Restricted Delivery
l0I •
❑ Priority Mail Express®
❑ Registered Malin"
❑ Registered Mail Restrict
Delivery
❑ Signature Confirmation
❑ Signature Confirmation
Restricted Delivery

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USPS TRACKING #
Wk6L
30
9590 9402 6321 0296 8906 75
United States
Postal Service
First -Class Mail
'Postage & Fees Paid
LISPS
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
WASI IINGTON, NC 27889
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