WQ0000088_NOV-2022-LV-0186 and NOV-2022-MV-0037 GC_20220418

SENDER: COMPLETE TI-IS SECTION
COMPLETE THIS SECTION ON DELIVERY
['AdultCI [Postage
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■ 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 malipiece,
or on the front if space permits.
1. Article Addressed to:
SHANNON V. BECKER, PRESIDENT
AQUA NORTH CAROLINA, INC.
202 MACKENAN COURT
CARY, NC 27511-6447
NOV-2022-LV-0186 / NOV-INTENT TO ASSESS / 20220414
GOVERNORS' CLUB WWTP / WQ000085 / CHAI HAM COUNTY
REC: 7016 2140 0000 4368 5470 / M 04/14/2022
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9590 9402 3415 7227 6729 70
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B. Received by (Printed Name)
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D. Is delivery address different from item 1?
M YES. enter delivery address below:
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No
3. Service 1jr'pe
❑ Mutt Blortehee
❑ Mutt Signature Restricted Delivery
CI Certified MailS
❑ Certified Meg Restricted Delivery
❑ Collect on Delivery
CI Natty MO Evian.
Cl Registered Me0
0 Regivtered Mall Restricted
❑ Me rthsYYR a Receipt f
rtlene/e. (;u., ean,lro relief ci Collect on Delivery Restricted Delivery ❑ Signature Cordirma kIr
7016 2140 0000 4368 547
WI0 Restricted Delivery
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
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Domestic Return Receipt
U.S. Postal ServiceTM
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
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a Q Return cot (rvrdcovy) $
0 CI Return Receipt (electronic/ S Postmark© DC -edited mom Rrtricted Delivery $ _ Hare
c..) ElAdult Signature Required $
Signature Restricted Degvery $
SHANNON V. BECKER, PRESIDENT
AQUA NORTH CAROLINA, INC.
202 MACKENAN COURT
CARY, NC 27511-6447
NOV-2022-LV-0186 / NOV-INTENT TO ASSESS / 20220414
GOVERNORS' CLUB WWTP / WQ000088 / CHATHAM COUNTY
REC: 7016 2140 0000 4368 5470 / M 04/14/2022
PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions

USPS TRACKING #
490 9402
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15 7227 6729 70
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First -Class Mail
Postage & Fees. Paid
USPS
Permit No. G-10
• Sender. Please print your name, address, and ZIP+4® in this box*
WATER QUALITY REGIONAL
OPERATIONS SECTION
NC-DEQ RALEIGH REGIONAL OFFICE
3800 BARRETT DRIVE
v RALEIGH, NC 27609
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Certified Mail service provides the following benefits:
■ A receipt (this portion of the Certified Mail label). for an electronic return receipt, see a retail
• A unique identifier for you mallpiece. associate for assistance. To receive a duplicate
* Electronic verification of ddhrery a attempted return receipt for no additional fee, present this
delivery. USPSde-posthrarked Certified Mall receipt to the
• A record of delivery Ondurdng the redpienrs retail assacfate.
signature) That Is retained by the Postal Service es
- Restricted delivery senrIce, which provides
for a specified period. delivery to the addressee specified by name, or
to the addressee's authorized agent
- Mutt signature service, which requires the
slgnea to be at least 21 yeas of age (not
available at retail).
- Adult signature restricted delivery service, which
requires the slgnee to be at least 21 years of ago
and provides delivery to the addressee specified
by name, or to the addressee's authorized agent
(not available at retail).
• To ensue that your Certified Mall receipt Is
accepted as legal proof of mailing, it should bear a
USPS postmark tit you would like a postmark on
Ns Certified Mail receipt please present your
Certlted Mall Item at a Post f„fce'" for
Important Reminders:
• You may purchase Certified Mali service with
First -Class Mai*. ITrst-Gass Package Service,
or Priority Mai* service.
• Certified Mao service is not available for
international mati.
• Insurance coverage Is noravalable for purchase
with Certified Mall service. However. the purdtase
of Certified Mail service does not change the
insurance coverage automatically included wth
certain Priority Mail items.
• For an additional fee. and with a proper
endorsement on the mallplece, you may request
the following services: postmarking. t you don't need a postmark on fibs
- Return receipt service, which Prides a record Certified Mail receipt, detach the bare ded portion
of delivery (Including the recipient's signature). of this tatter, affix it to the mailpiece, apply
You can request a hardcopy ream receipt or an appropriate postage, and deposit the maltpiece.
electrons version. for a hardcopy return receipt,
complete PS Form 3811, Domestic Refum
Receipt; attach PS Form 3811 to your mailpiece; IMPORfAIIP Sava ibis neelpt for ycer r
PS Fcrm 3800, April 2015 (Reverse) PSN 7630.02-000-9047