WQ0014306_LV-2021-0354 Green Card Returned_20211229

.ENDER: COMPLETE THIS SECTION
■ Complete items 1, 2, end 3.
■ Print your nerve and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mafplece,
or on the front if apace permits.
GomPLETL TIIIS SECTION ON (.DELIVERY
aStriature
X
❑ Agent
❑ Addreesee
B. Received by (Printed Name)
C. Date of Delivery
I. Article
Raymon Gottlieb
Sandler Utilities at Mill Run LLC
448 Viking Dr Ste 200
Virginia Beach VA 23452-7331
D. is delivery : • • ty ��G;y'.4,_ `f'';,�.� : s
if YES, enter ■
DEC 2 9 2021
Writes Q" laHiy
3.
Service Type Regional Operatl
Reg@o�{ ess
I9I406II5I1I9III0407 I4I9I I ektriattge R gIOn
��° Ceruled Ma edDel1,y D Signature R°t or1allRestricts
im
❑ Cosot co Delivery 0 Conmton ❑ Collect on Detvery Restricted Delivery Res Acted Delivery
i t .7.021 .0950 0001 11087, ,3707 wry
,s 1=«m`8811..lu'Iv 2020 rP id3b-oz'-boo-3 I
Article.Number ttr_fLm.servk a label)
Domestic Return Recrbt

i
i
USPS TRACKING #
9590 9402 6519 0346 4047 49
United States
Postal Service
First Class Mall
Postage & Fees Pald
USPS
Permit No. (3-10
• Sender: Please print your name, address, and ZIP+4® In this box•
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889