NC0048861_NOV-2021-PC-0574 Green Card Returned_20211201

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ENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3. , V e—
■ 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:
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X
B. Recei eby (P i ed Name)
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9590 9402 6716 1060 6310 78
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„7021 09501'0001 1087
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is deli ery address different from item 1? ;' `es
If YES, enter delivery address below: ❑ No
DEC O%.2021
Water Quality
Regional Operations Section
Lynn IogiU" Id l 9(yx Le
3 Service Type D Priority Mail
❑ Adult Signature 0 Registered MaiiTM
❑ Adult Signature Restricted Delivery 0 Registered Mail Restricts
❑ Certified Mail® Delivery
0 Certified Mail Restricted Delivery 0 Signature Confirmation',"
❑ Collect on Delivery ❑ Signature Confirmation
❑iGollecl.on Delivery.Restribted Delivery i : Restricted Delivery
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estricted Delivery
(UVCI yJUU)
PS Form 3811. July 2020 PSN 7530-02-000-9053
Domestic Return Receipt

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9590 9402 6716 1060 6310 78
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
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