WQ0014306_LV-2021-0353 Green Card Returned_92020122

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ENDER: COMPLETE THIS SECTION
• Complete Items 1, 2, and 3.1 r;
• 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 mallplece,
or on the front If space permits.
[i 1
COMPLETE THic SECTION ON DELIVERY
a s
X
❑ Agent
❑ Addressee
B. Received by (Prinfud Name)
C. Date of Delivery
1. Article Addressed to
—Raymond Gottlieb
Sandler Utilities at Mill Run LLC
448 Viking Dr Ste 200
Virginia Beach VA 23452-7331
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9590 9402 6519 0346 4047 32
D. Is delivery address d�erer itHr1t1t6M 1'N' tx►'►ef
If YES, enter delivery address below: ❑ No
DEC 2 9 2021
Water Quality
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3. Service Wmrangton Fiesimkpalkaresee
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❑❑ ,t s Ware d Delivery 0 =0 red Mal Restrict
Certified 0.WD
❑ Derailed Mel Restricted Delivery 0 signature Confirmation*,
0 Coiled on Delivery 0 S gnstrre Covitmation
7 nrtrc N 1 i q.Doi on Delivery Raettoted Delivery i Restricted Delivery
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Domestic Return Receipt

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USPS TRACKING #
9590 9402 6519 0346 4047 32
United States
Postal Service
First -lass Man
Postage & Fees Paid
USPS
Permit No. G-10
• Sender. Please print your name, address, and ZIP+46 In this box•
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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