20060897 Ver 1_Certified Return Receipt_20070831

^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ 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. William J. Qualls Jr.
85 Lake Royale
Louisburg,NC 27549
DWQ# 06-0897-Franklin
A.
^ Agent
~jR~acelGed by ( 'nted Name) C. Date of Deli
°~..r~~ ~ ~- >4ti ~-3c-c%
D. Is elivery address different from item 17 ^ Yes
It YES, enter delivery address below: ^ No
3. Service Type
Certified Mail ^ Express Mail
Registered Return Receipt for Merchand(se
^ Insured Mail C.O.D.
4. Restricted Deliver)/i' (F.ztra Fse) O Yes
2. Article Number 7007 0710 ~~~2 1579 2327
(Transfer from service label,
- - - -- --
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
i ii ii i
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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