WQ0015052_LV-2022-0015 GC_20220203

• Complete ttems 1, 2, and 3. %0Q1'Q5j----
■ Print your name and address • the reverse
so that we can retum the card to you.
• Attach this card to the back of the mallplece,
or on the front tf space pemitts.
William'Galen Freed
113TDuck#oods Drive
Kitty HaWk, NC 27949
9590 9402 6716 1060 6307 36
V
COMPLETE THIS SECTION ON DELIVERY
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Adult Signature
0 Adult Signature Restricted Delvery
0 Certified Matt®
❑ Certtfted Mall Restricted Delivery
❑ Collect on Delhrery
❑ Priority Malt Express®
0 Registered MaJTM
❑ Registered Mal Reetrbd
❑ Sigrntrse Confirmation"
❑ Signature Confirmation
2. Artkle Nu (IYsnsfi9r r s an � Y Y
7 21 9' i� ! 115 2 5 l 1 ': ( s'R§bictd D 34De 1
over
Form R11 .Irrw 9n9n PRN 7..cinf4ro-rim-AfFi9 Dornesic Return,Recofol

LISPS TRACKWIG #
3L
9590 9402 6716 1060 6307 36
United States
Postal Service
First -Class MaH
Postage & Fees Paid
LISPS
Permit No. 0-10
• Sender -Please print your name, address, and ZIP+4e in this box*
6NORTH CAROLINA
ti iF. ' Environmental Quality
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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