740021_Returned Green Card NOV-2021-PC-0555_20211122

ENDER: COMPLETE THIS SECTION
• Complete items4,:2, and 3.
■ Print your nanie.and address on th 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.
r. A
COMPLETE THIS SECTION ON DELIVERY
A. Signature
c +
❑ Agent
❑ Addressee
C. Date of Delivery
1. Article Addressed to:
Ephraigm Smith
7267 NC 43 S
Greenville, NC 27858
1111111111111111111111111111111111111111111111
9590 9402 7n5n 1225 nos° RR
2. Article Number (Transfer from_service.lahan
?020 1810 0001 5980, 97
A.,
D. Is delivery address different from item 1?
If YES, enter delivery address below:
NOV 2 2 ZOZ1
Water Quality
Regional Operations Section
n Re a ional Office
. . H •
❑ Yes
❑ No
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
0 Certified Mail®
❑ Certified Mall Restricted Delivery
0 Collect on Delivery
Collect on Delivery Restricted Delivery
Insured Mall
Insured Mall Restricted Delivery
(over $500)
❑ Priority Mail Express®
❑ Registered MaiP
❑ Registered Mail Restricte
Delivery
0 Signature Confirmation"
❑ Signature Confirmation
Restricted Delivery

I I I
i
i
la 1
USPS TRACKING #
2L
9590 9402 7050 1225 0080 88
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•
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
n1111111111n11in111,1111111111,1,11.1111l1111111211111111111171