NC0087084_Other Agency Document (lLV-2022-0171)_20220914

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. S nature
■ Print your name and address on the reverse / 0 Agent
so that we can return the card to you.
0 Addressee
• Attach this card to the back of the mailpiece, B.t� Lr�:te of Delivery
or on the front if space permits. • GylMn 1_ _'L
D. Is delivery a ress Jiffeieen 1? Yes
Town of Forest City If YES,enter delivery aild4s ❑ No
Attn: Janet H. Mason, City Manager PO Box 728 NCDENWRINPDES
Forest City, NC 28043
Service El Type Priority Mail Express®
Hill ill III 11111 II ��I I II I I I I I I I Adult Signature 0 Registered Mail,'^
Adult Signature Restricted Delivery 0 Registered Mail Restricted
Certified Mail® Delivery
9590 9402 3951 8060 0171 78 Certified Mail Restricted Delivery 0 Return Receipt for
Collect on Delivery Merchandise
^
-Delivery Restricted Delivery Signature Confirmation,"'
7 018 1830 0001 8037 115 ^ ail 0 Signature Confirmation
------ - ail Restricted Delivery Restricted Delivery
(over$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

USPS TRACKING# 111111
First-Class Mail
Postage&Fees Paid
USPS
Permit No. G-10
9590 9402 3951 8060 0171 78
United States •Sender: Please print your name,address,and ZIP+4®in this box•
Postal Service
Charles H. Weaver
NC DEQ/DWR/NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617