WQ0007283_NOV-2021-LV-0934, 0940, 0941 & 0942 GC_20220118

ENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3.
• 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 maliplece,
or on the front if space permits.
1. Article Addressed to:
James V Bender, Jr.
Town of Pollocksville
PO Box 97
Pollocksville, NC 28573
I[iiIII IIII III I II II I I I �I 11111 11111111
9590 9402 6518 0346 9011 33
2. Article Number (Transfer from service fsbeO
COMPLETE TIIIS SECTION ON DELIVERY
A.
B. Received
a Service Type
❑ Adult Signature
❑ AduR Signature Restricted Delivery
❑ Certified Mai®
❑ Certified Mae Restricted Delivery
0 Cogent on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Agent
❑ Address&
C. Date of Deliver)
D. Is delivery : •:• _ =Ifdiff„tiVongrIPkti Yes
tf YES, erder deLtvery address below: ❑ No
JAN 1:8 2022
Water Quality
Regional Operatlorm gw'tion
i'IUtuf. Req
Weal
Bpresse
❑ Registered Magi"
❑ Rep red Mail Restrict
❑ Signature CConflnmedonn
0 Signature Confirmation
Restricted Delivery
7p25134 ai PM►111 � 14114.511M 11 `tr iltriedtperVerY 11 1
PS Form 3811. Julv 2020 PSN 7530-02-000-9053
Domestic Return Receipt

I I
i
i
USPS TRACKING #
i
9590 9402 6518 0346 9011 33
80
United States
Postal Service
First -Class Mail
Postage & Fees Paid
usPs
Permit No. G-10
• Sender: Please print your name, address, and ZIP+46 in this box•
ram`,' NORTH CAROLINA
Environmental Quality
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
1,I1111111,,,111f 1111.111,11„'111111