20071612 Ver 1_Certified Return Receipt_20071029

^ Complete items 1, 2, and 3. Also complete A. Sigr>a~ure
item 4 if Restricted Delivery is desired. gent
^ Print your name and address on the reverse ~ ^ Addressee
so that we can return the card to you. ~. Re $ived Tinted Name) of Delivery
^ Attach this card to the back of the mailpiece, , _
or on the front if space permits. ~ ~ '' `
D. Is delivery address different from Rem 11 ^ Yes
1. Article Addressed to: If YES, enter delivery address below: ^ No
Mr. Charlie Stambaugh
1178 Ocean Boulevard
Atlantic Beach,FL 32233
DWQ# 07-1612-Henderson
3. S rvice Type
Certified Mail ^ Express Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
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2. Article Number
(Transfer from service label) 7 0 0 7 14 9 0 0 0 0 3 5 6 2 3 4 8 5
__- - _
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PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED $TqT ~ T I ~,_ .~,. ~
_ _ {~ ~.~~~ y
• 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