NC0021644_NOV-2021-LV-0667 GC_20210916

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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.
COMPLETE THIS SECTION ON DELIVERY•.-
1. Article Addressed to:
John P Craft Manager Town
Town of La Grange
PO Box 368
La Grange NC 28551-8219
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B. Re e� b (Printed Name)
❑ Agent
❑ Addresse
C. Date of Deliver
D. Is delivery address A1>ilicarasceRyw0 Yes
If YES, enter delivery address below: No
SEP 16 2021
Water Quality
Regional nporot'
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lMExpress®
ress®I 3. Service Type tonegion edI990II9I40I2I6I32I I0I 2I9II8jti!15111
❑certified Mail Restricted Delivery
utt Signature Restricted Delivery 0 Registered Mali Restrict
Certified Mail® 0 Signature Confirmation*Delivery
❑ Collect on Delivery 0 Signature Confirmation
2._Articie Number (transfer from_serviceJabel) ❑ Collet on Delivery Restricted Delivery Restricted Delivery
0 9 :2 97 p 0 01 314 0 ::1913 d14011 Restricted Delivery
P8 Form.3811', July 2020 PSN 7530-02-000-9053 : Domestic Return Receipi

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USPS TRACKING #
1111
I II
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11111
9590 9402 6321 0296 8931 95
_United States
Postal Service
First=ClassMail
'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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