WQ0009772_NOV-2022-LV-0021, 0022, 0034 GC_20220114

ENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3.
• Print your name and address on t e 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
c \(-1
B. Received by (P(inted Name)
0 Agent
❑ Addresse(
C. Date of Deliver)
1
n.4;.,1.. n,+.+-,....._a .,..
Don Denton
Carolina Water Service Inc of NC
4944 Parkway Plaza Blvd
Suite 375
Charlotte, NC 28217
1I
111111
IIII
III
1111111
I
1111
9590 9402 6518 0346 9018 50
2. Article Number (Transfer from service label)
7021 0950 0001 1087
3783
D. Is delivery qif pft # ifem 1? ❑ Yes
If YWeri . very address below: ❑ No
JAN 1 4 ?022
Ware( Quality
naI Ut,eraEly r� „co
•
3. ServiCEli�f� (�I �Eprity Mail Express®
❑ Adult Slgrl ghinn'( ), ,aegional ❑Registered MaiITM
❑ Adult Signature Restricted Delivery
❑ Certified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
via
vlail Restricted Delivery
l0)
❑ Registered Mail Restrict(
Delivery
❑ Signature Confirmation.'
0 Signature Confirmation
Restricted Delivery
3S Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt

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iu
USPS'TRACKING #
9590 9402 6518 0346 9018 50
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*
g, 1,-A NORTH CAROLINA
.0, Environmental Quality
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889