NC0045471_Other Agency Documents_20221130

DER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. . natu / �pn
•
Y . X � - 6 `— 0 Agent
• Print our name and address on th�.reverse -` ' ❑Addressee
so that we can return the card to y0ti.
• Attach this card to the back of the mailpiece, Rec Ned by(P n d Name) C. Date of Delivery
or on the front if space permits. Ls Or)
Barium Springs Home for Children D. Is elivery address different from item El Yes
If YES, nter delivery address below:? 0 No
Attn: Orien Dalton v gP/140
PO Box 1 , 28010 6,1\
Barium Sprii.L,,,AC 28010
i 2022 irR
III III I1I I1111 11111 I I I I I I I I I 3.❑AdulSna t Signatu e'estricted Delivery ❑D F,rity tricted
9590 9402 6134 0209 3835 80 o Certified Mall Restrlc- 0 Return Receipt for
❑Collect on Delivery Merchandise
1 Delivery Restricted Delivery ❑Signature ConfirmationT"r
7 019 1120 0001 4877 5959 ail 0 Signature Confirmation
all Restricted Delivery Restricted Delivery
I (over$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

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First-Class Mail
i r:t :: Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 6134 0209 3835 80 RECE
United States +4®in this box*
Postal Service NCDEQ/DWR/NPDES NOV 3 0 aig
ATTN: WREN THEDFORD
1617 MAIL SERVICE CINCDENWRIAng
RALEIGH,NC 27699
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