20060973 Ver 1_Certified Return Receipt_20070808

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIV
^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ 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.
Article Addressed to:
IVIT. ~.~c~UC~e T.~ayO
P.~) BOX 12~~
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JWQ~# ~C-097'-~r2-Nash
A. Signature
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B. Received by (Printed Nam V Date o ry
C' ~ ~ iJ ~ i
D. Is delivery address differen item 1 Ye
If YES, enter delivery addr w:
3. , S rvice Type
Certified Mail ^ Express Mail
Registered ~ Retum Receipt for Merohandise
^ Insured Maii ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 7005 1820 0002 0151 4464
(Transfer from service I
PS Form 3811, February 2004 Domestic Retum Receipt to25ss-o2-M-15ao

UNITED STATES POSTAL SERVICE,
4`~~ .e .--tea a. ~.
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water
Quality
401 Oversight/Express Unit
2321 Crabtree- Boulevard Suite250
Raleigh,NC 27604
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