20071691 Ver 1_Certified Return Receipt_20071015

•u• • •~ ~ ~:~'
^ 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:
Lacy S. Hodgin
234 Canal Circle
Semora,NC 27343
DWQ# 07-1691-Person
A.
X
^ Agent
^ Addre
~iecaiGed by (Printed Name) C. Date of Delivery
~- ~cSTJ7
D. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
3. Service Type
Certified Mail ^ Express Mail
^ Registered ~Retum Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(fiansfer from service /abc 7 0 0 7 a 71 a a o 0 4 6 7 4 0 2 2 6 5

UNITED STATES POSTAL SERVICE
,. .. .. ..L>{ Cif ~ ,-... .. i_.
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
40l Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604