WQCS00046_NOV-2021-DV-0475 GC_20211117

USPS TRACKING #
1110
9590 9402 5027 9063 9448 56
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender. I?lease print your name, address, and ZIP+4® in this box•
NCDEQ/WQROS
610 EAST CENTER AVE
SUITE 301
MOORESVILLE NC 28115
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ENDER: COMPLETE THIS SECTION
■ Complete i#ems 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.
I. ArticleAddressedto•
CITY OF BELMONT
PO BOX 431
:i:�ONT NC 28012-0431
-Y:It: ADRIAN MILLER
ilwr/mm 11/17/21
COMPLETE THIS SECTION ON DELIVERY
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MO.tettvlLLL I iLUONAL FFICE
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❑ Adult Signature
Adult Signature Restricted Delivery 0 Registered Mail Restrict❑ Priority Mall Express®
❑Regitered MaiIT
ertified Mail® Delivery
9590 9402 5027 9063 9448 56 ❑ Certified Mail Restricted Delivery Alietum Receipt for
❑ Collect on Delivery _Merchandise
n Cnl!ect on Delivery Restricted Delivery 0 Signature Confirmation'
i d air 1 r ' ❑ Signature Confirmation
• 7018130101 .dj� j2 3 ], q g p 69 7' { l i M{ i i. I I` I l 1 { Restricted Delivery
•� i � d Mail.Restricted Delivery, ,
over $500)
gent
40 Addressee
5S Form 3811. July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

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1. • os a ervice
CERTIFIED MAIL® RECEIPT
Dothest4,c Mail Only
for delivery information, visit our website at.www.usps.como.
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Certified Mail Fee
35
4-1
Extra Services & Fees (checkbox, add fee as appmp, ate)
❑ Retum Receipt (hardcopy) $
❑ Retum Receipt (electronic) $
❑Certified Mall Restricted Delivery $
['Adult Signature Required $ •
❑Adult Signature Restricted Delivery $
Postage
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CITY OF BELMONT
PO BOX 431
BELMONT NC 28012-0431
ATTN: ADRIAN MILLER
dwr/mm 11/17/21

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A receipt (this portion of the Certified Mail label).
A unique identifier for your mailpiece.
Electronic verification of delivery or attempted
delivery.
A record of delivery (Including the recipient's
signature) that is retained by the Postal Service"'
for a specified period.
nportantReminders:
You may purchase Certified Mall service with
First -Class Mail°, First -Class Package Service°,
or Priority Mail° service.
Certified Mail service is not available for
international nail.
Insurance coverage is notavailable for purchase
with Certified Mail service. However, the purchase
of Certified Mail service does not change the ■
insurance coverage automatically included with
certain Priority Mail hems.
For an additional fee, and with a proper
endorsement on the mailplece, you may request
the following services:
- Retum receipt service, which provides a record
of delivery (Including the recipient's signature).
You can request a hardcopy return receipt or an
electronic version. Fora hardcopy retum receipt,
complete PS Form 3811, Domestic Return
Receipt; attach PS Form 3811 to your mailplece;
u�c rvnvvru�y uncua.O•
for an electronic retum receipt, see a retail '
associate for assistance. To receive a duplicate
retum receipt for no additional fee, present this
USPS®-postmarked Certifiid Mad receipt to the
retail associate. •
- Restricted delivery service, which pmvidgs
delivery to The addressee specified by name, or
to the addressee's authorized agent.
- Adult signature service, which requires the
signee to be at least 21 years of age (not
available at retail).
- Adult signature restricted delivery service, whict
requires the signee to be at least 21 years of ag
and provides delivery to the addressee specified
by name, or to the addressee's authorized agent
(not available at retail).
To ensure that your Certified Mall receipt is
accepted as legal proof of mailing, it should bear a
LISPS postmark If you would like a postmark on
this Certified Mail receipt, please present your
Certified Mail item at a Post Office" for
postmarking. If you don't need a postmark on this
Certified Mall receipt, detach the barcoded portion
of this label, affix it to the mailplece, apply
appropriate postage, and depositthe maiipiece.
IMPORTANT: Save thls receipt for your records.
S Form 3800. A xil 2015 IRevorsnl PSN 75a0-02-000-9047