WQ0000889_NOV-2021-LV-0682_20210929

■ Complete items 1, 2, and 3. AJ hi
• 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:
William lM Ponton
PCS Phosphate -Company Inc
1530 NC:Highway. 306'_South
Aurora, NC 278069245
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9590 9402 6321 0296 8933 31
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COMPLETE THIS SECTION ON DEL'IVERV•
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Received by (Printed Name
A. Signature
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❑ Agent
❑ Addresser
7- / C. Date of D liven
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D. Is delivery address different from item 1 ❑ Y
If YES, enter delivery address below: ❑ No
SEP 2 9 2021
Water Quality
Re ional Operations Section
. Service Type s�ington Re
❑ Adult Signature
❑ Adult Signature Restricted Delivery
0 Certified Mall®
❑ Certified Mall Restricted Delivery
❑ Collect on Delivery
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7020 1810 0001 5980 9560 Mail
Mail Restricted Delivery
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❑ Priority Mail Express®
❑ Registered Menu',
0 Reolstered Mall Restrict
Delivery
❑ Signature Confirmation'
0 Signature Confirmation
Restricted Delivery
PS Form 3811
ulv 2020 PSN 7530-02=0n0-9nsal
Domestic Return,Receipt

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USPS TRACKING #
9590 9402 6321 0296 8933 31
United. States
Postal Service
• Sender: Please print your name, address;}
First -Class Mail
Postage &Fees Paid
USPS
Permit No. G-10
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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