20140847 Ver 1_Certified Return Receipt_20140926

� 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:
,--- -----�-... _..- --------
i ::•.,;,w.. . , - - —. .
' Mr. Ciay`CNillis
; NCDOT:::Division 1
; 113 Airport Drive, Suite 100 _
i Edenton; NC 27932 �{- (�--r=(�
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A. Si at'ure�t�•::
/j `L� Agent
X N' y ❑ Addressee
B. Received y(Prinfed Name) C. Date of Delive
' ,- l�. L,��-�.,� 9-.Z.d--/
D. Is d ivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
! 3. Servi ype
�-��i ertified Mail� ❑ rity Mail Express"'
_% ❑ Registered Return Receipt for Merohandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery7 (Extra Fee) ❑ Yes
2. Article Number ; � 1� pyy 3; 3 p 2�0 �0 � � �} 7 6�3 � a 23 1�� 1' `'
(I'ransfer from sen _ ___ _, _ _ _ _____
� PS Form 3811, July 2013 ^� Domestic Return Receipt

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UNITED STATES'�`�1����VICE First-Class Mail
`i�+��:. .�'' ��� ° Postage & Fees Paid
f::; USPS
M^i-� 4''�-�'' -�'�'� Permit No. G-10
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° Sender: Please print your name, address, and ZIP+4° in this box•
NCDENR-DWR
' MSC# 1617
� RALEIGH, NC 27699
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Postage $
Certified Fee � �i
Retum Receipt Fee Pos
(Endorsement Required) � �
Restricted Delivery Fee � ,
(Endorsement Required)
� Total Postage i � n• • — —� - -- - - . - - -
m se�rro Mr. Clay Willis �
m NCDOT- Division 1
� Street, Apt No:. � �
0 o.POaoXNo. 113 Airport Drive, Suite 100 ;
�`- c�ry"si�re,-ziP Edenton, NC 27932 "
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Ce�ified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders: , s � • �
■ Certified Mail may ONLY be combined with First-Class Mail� or Priority Mail�.
■ Certified Mail is not available for any class of internationat mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Retum Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please compiete and attach a Retum
Receipt (PS Form 3811) to the articte and add applicable postage to cover the
fee. Endorse mailpiece,"Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS� postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with tlie
endorsement "Restricted Delivery".
o If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail. _
IMPORTANT: Save this receipt and present it when making an inquiry:
PS Fortn 3800,AUgust2006 (Reverse) PSN 7530-02-000-9047