520013_NOV-2022-PC-0181 GC_20220415

ENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3.
• Print your name and addreverse
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.
N I _♦
COM.rl'LF..TE THIS SECTION ON DELIVERY
A. Signature
XC-Of
LAC Mills Farm Inc
1764 Lynman Road
Chinquapin, NC 28521
IIIIII� IIN 11IIII II I VIIUI II IIIIIIIII III
9590 9402 7033 1225 6467 19
2. Article Number (Transfer from service
-
701311MDtl UI g11i4t181149F19
❑ Agent
0 Addressee
B. BeceNer (PrMted Nsme) C. Date of Delivery
D. Is delivery add different from Rem 1? ❑ Yes
ff YES, IteCeivieiNPROWNRCINR❑ No
APR 18 2022
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3. Servicellitagional Operations
❑tt=t
iatUacailail
p�Certtlled Ma"
�] certified Mee Restricted Delivery
❑ collect on Delivery
❑ Cofleot on Delivery Restricted Delvery
"-'nsured'neared Mail Melt
Restricted Dewy
❑ Signature Confirmafionn
❑ slgnawe Confirmation
Restricted Delivery

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of
USPS TRACKING #
9590 9402 7033 1225 6467 19
United States
Postal Service
Flrst-Class Mall
Postage & Fees Paid
USPS
Permit No. G-10
• Sender. Please print your name, address, and ZJP+44) In this box•
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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