WQ0034102_Return_20220523

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SENDER: COMPLETE THUS SECTION COMPLETE THIS SECTION ON DELIVERY •
• Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse -� I� 0 Agent
so that we can return the card to you. ❑Addressee
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
or on the front if space permits. Nan
t. Article Addressed to: D. Is delivery aciaig different from item 1? 0 Yes
W. Da rron Flowers If YES,entel �ppgipyypNo
Town of Fremont
Po Box 4 MAY 2 5 2022
Fremont, NC 27830-0004
1
3. " l iorz aFre ss®
1111111111111111111111111111111111111111111111 ❑Adult Serviceignature ashin on ROgio - mar'Q dtiSignature Restriotehvery Mail Restricted
Certified
Mail® Delivery
9590 9402 7294 2028 2659 60 D Certified Mail Restricted Delivery 0 Signature ConfirmationTM
❑Collect on Delivery 0 Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
O insured Mail
0 Insured Mail Restricted Delivery
(over 5500)
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt

USPS TRACKING# I II II I -
First-Class Mail
Postage&Fees Paid
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111111 N.
II I I�I • Permit No.G-10
9590 9402 7294 2028 2659 60
United States •Sender:Please print your name,address,and Z1P+4®in this box*
Postal Service
NC Department of Environmental Quality
Division of Water Resources
943 Washington Square Mall
Washington NC 27889
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