20191236 Ver 1_Return_20191022

-113 b L-A I ftS
■ Complete items 1, 2, and 3. A. Sig tur
■ Print your name and address on the reverse�"&s
❑ Agent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, B• R Iv y (Prin(ed Name) C. Date of Delivery
or on the front if space permits.
Article Addressed to:
Mr. James H. Salmons, III
PO P )x 57008
Virg." iia Beach, VA 23457
1111111111111111111111111111IN1111111III 111
9590 9402 4851 9032 7910 32
2. Article Number (Transfer from service label)
Ii7019 0160 0000 3479 8551
D. Is delivery address different from item 17 ❑ Yes
If YES, enter dejWeTAddress below: ❑ No
l y v�� Vq
cc-1
V-:( 'C- I2
3. Service Type " Q
.6 Priority Mail Express®
❑ Adult Signature J b -'
❑ Registered MailT'
❑ A��JuUIt Signature Restricted very
ElRegistered Mail Restricted
l7'Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature ConfirmationTM
7 Insured Mail
❑ Signature Confirmation
:1 Insured Mail Restricted Delivery
i moo. asnm
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt ,

9590 9402 4851 9032 7910 32
United States
Postal Service
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box*
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889