WQ0002284_PC-2022-0015 GC_20220425 (2)

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SENDER: 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 mailpiece,
or on the front if space permits.
1. Article Addressed to:
Mr. Ray E. Hollowell
PO Box 1158
Avon, NC 27915
III'llllll'lllllllll IIIIIIIIIIII IIIIII IIIIIIII
9590 9402 7033 1225 6451 70
LPS Form 3811, July 2020 PSN 7530-02-000-9053
2. Article Number (Transfer from service label)
—06
COMPLETE THIS SECTION ON DELIVERY
A. Si
X
B. Recir
- ed by (Printed Name)
,RECENEDINCDENRIDWR
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
❑ Agent
0 Addressee
APR 2 5 2022
Service T}lfie
❑ Adult Signature
❑ A It Signature Restricted Delivery
edified Mall®
❑ Certified Mail Restricted Delivery
0 Collect on Delivery
❑ Collect on Delivery Restricted Delivery
' "'ail
Water Quality
Re Tonal Operations S
eCtiOn
n1n,.1t..,+ Reginna1 office
7021 0350 0000 4 418 4982 VI Restricted Delivery
C. Date of Delivery
0 Priority Mail Express®
❑ Registered MailTm
❑ Registered Mail Restricted
Delivery
❑ Signature ConflrrrrationTM
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt

i
i
USPS TRACKING #
9590 9402 7033 1225 6451 70
United States
Postal Service
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
° Sender: Please print your name, address, and ZIP+4® in this box*
NORTH CAROLINA
t! Environmental Quality
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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