NC0021644_NOV-2021-LM-0082 GC_20210916

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. Article Addressed to:
John. P Cratt Manager town
Tt?wn,_of La Grange
Pa=3b:x. 368
La Grainge NC 28551-8219
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9590 6
COMPLETE THIS SECTION ON DELIVERY
❑ Agent
❑ Addressei
B. eceive . •y (Printed Name)
CEIVED/NODE
D. Is delivery address different from item 1?
If YES, enter delivery address below:
SEP 16 2021
C. Date of Deliver!
R/DWR
❑ Yes
❑ No
Water Quality
Regional Operations Section
Washington
3. Service Type
❑ A It Signature
❑ ult Signature Restricted Delivery
Certified Mail@
❑ Certified Mall Restricted Delivery
❑ Collect on Delivery
2._Article_Numberffransfer from service label) 0 Collect on Delivery Restricted Delivery
Mail
. Q 19 . i 93 0 .0.0 0.1. 313 9 i 190. 81 j all Restricted Delivery
PS Form 3811: JuIv' 02d PSN 7531)-02 2000-9O53
❑ Priority Mail Express@
❑ Registered MaiITM}
❑ Registered Mail Restrict
Delivery
❑ Signature Confirmation',
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt

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III
USPS TRACKING #
I I
I II
I I I
i
9590 9402 6321.0296 8931 57
United States
Postal Service
First=ClassMail
Pbstagel& Fees Paid
USPS
Permit No. G-10
• Sender: please print your name, address, andZIP+4® in this•box•
NCDEQ- DIVISION OF WATER RESOURCES
WATER QUALITY REGIONAL OPERATIONS SECTION
1 943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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