NC0021644_NOV-2021-LV-0673_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 maiipiece,,
or on the front if space permits.
1. Article Addressed to:
COMPLETE THIS SECTION ON DELIVERY
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❑ Agent
❑ Addressee
qpate of Delivery
'John P'Craft Manager Town
Town.of La Grange
PO l`368
La Grange NC 2855148219
D. Is delivery address different from item 1? ❑ Yes
If YES, enter crpy gad a e2lirw: ❑ No
Water Quality
Regional Operations Section
Washington Regional Office
i 3. Service Type 0 Priority Mall Express®
❑ Adult Signature 0 Registered Mail"'
❑.6�dult Signature Restricted Delivery 0 Registered Mail Restrict(
Certified Mail® Delivery
❑ Certified Mail Restricted Delivery 0 Signature Confirmation*,
9590 9402 6716 1060 6309 10 ❑ Collect on Delivery 0 Signature Confirmation
2._Article_Number_lTiansferirom.senricelahan D_Collecton Delivery Restricted Delivery Restricted Delivery
Mail
7 019 129 7 0110 0 01, 31i3 9 8930 Mail Restricted Delivery
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PS Form 3811. July 2020 PSN 7530-02-000-9053
Domestic Return Receipt

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i
III
USPS TRACKING #
1111
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di
9590 9402 6716 1060 6309 10
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•
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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