NC0048861_Returned Green Card N0V-2021- LR-0060_20211012

• Complete items 1, 2, and 3. We
• 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
A. Signature
X by r
B. ReceRECWvived by Erktg�yIDWR
❑ Agent
0 Addresse(
C. Date of Deliver}
1. Article Addressed to:
Edwin Blount, Mayor
Term of Creswell
PO Box 68
Creswell, NC 27928-0068
IIIIIIIIIII940I IIII2 1IIIIIII63210296 III I
89III33 1III
00I
9590
D. Is delivery address different from item 1? 0 Yes
If YES, enteerrdelliverrykddrawpelow: 0 No ZULI
O
Water Quality
Regional Operations Section
Washington Regional Office
2. Article Number (Transfer from servira tahan -
7.02,0..181p 0001 5980 9768
• Form Sill _ .li'iv 2ron PRKI 7snn-ro-nnn-ansR
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Certified Mall®
0 Certified Mall Restricted Delivery
❑ Collect on Delivery
on Delivery Restricted Delivery
Mail
d Mail Restricted Delivery
over$500)
❑ Priority Mail Express®
❑ Registered MaiITM+
❑ Registered Mail Restrict(
Delivery
❑ Signature Confirmations
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt

i
i
USPS TRACKING #
I!
9590 9402 6321 0296 8933 00
United States
Postal Service
'.tiJ i324. �!
First -Class Mail
Postage &,Fees Paid
'USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4e in this box•
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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