WQ0002284_NOV-2022-PC-0028 GC_20220204

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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 mafplece,
or on the front ff space permits.
COhir'I-F.TF THIS SEC r'IOFJ ON DELIVERY
SIgnature
X-4—
B. F ecelved by (Printed Name)
RECEIVED/NCDENR/DWR
❑ Apent
❑ Addresser
C. Date of Deliver)
1. Articki Addressed to
Mr. 3 .ay E. Hollowell
PO Box 1158
Avon, NC 27915
D. Is delivery address different from them 1? ❑ Ves
If YES, enter deflvery address below: ❑ No
FEB 0 4 ?f122
Water Quality
Regional Operations Section
Wsshington Regional Office
IIIIIIIIIIII IIIIIII IIIIIIIIIII III IIIIIII
9590 9402 6519 0346 4045 34
a Service type
0
Adria Signature
Adrdt Swabs* Restricted Delivery
❑ Cerlled Mel®
❑ Certified Merl Restricted Delivery
0 Collect on Delivery
..,..atria ,en ❑ Collect on Delivery Restricted Delivery
awed Mail
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5 9.8 3 5 aired Mal Restrected Delivery
Priortty o� aed
❑ W.mred Mel Reeabd
0 Signature Ccer tattonr
0 Signature Codf rmaUon
Restricted Delivery
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USPS TRACKING #
IF1I'. II III11 i �':;
9590 9402 6519 0346 4045 34
United States
Postal Service
First -Gass Mall
Postage & Fees Paid
USPS
Permit No. G10
• Sender. Please print your name, address, and ZIP+46 In this box•
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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