HomeMy WebLinkAboutWQ0004823_NOV-2019-LV-0027 GC_20190122m
Domestic Mail Only
N
r-i
WINSTON SALEM NC 27104
m
o
Certified Mail Fee
$3.45
IJ389
$
(14
Extr&SeMces& Fees (check box, add tee te)
CO
Return Receipt (hardcopy) $ I
rl
❑ Relum Receipt (electronic) $ $j IT01)
Postmark
r7I
❑ Certified Mail Restricted Delivery $ $0. OAHere
OO
❑ Adult Signature Required $
❑Adult Signature Restricted Delivery $
O
Ir
m
ru
CO
ra
0
r`-
$171.50
$6.7A
Rolf Blizzard, President Vice
Pine Island- Currituck, LLC
4400 Silas Creek Pkwy
Ste 302
Winston Salem, NC 27104
01 /16/ 2019
Certified Mail service provides the following benefits:
■ A receipt (this portion of the Certified Mail label). for an electronic return receipt, see a retail
■ A unique identifier for your mailpiece.
associate for assistance. To receive a duplicate
■ Electronic verification of delivery or attempted
return receipt for no additional fee, present this
delivery.
USPS®-postmarked Certified Mail receipt to the
■ A record of delivery (including the recipients
retail associate.
signature) that is retained by the Postal Service-
Restricted delivery service, which provides
for a specified period.
delivery to the addressee specified by name, or
to the addressee's authorized agent
Important Reminder's.
Adult signature service, which requires the
■ You may purchase Certified Mail service with
signee to be at least 21 years of age (not
First -Class Mail*, First -Class Package Service®,
available at retail).
or Priority Mail* service.
Adult signature restricted delivery service, which
■ Certified Mail service is not available for
requires the signee to be at least 21 years of age
International mail.
and provides delivery to the addressee specked
■ Insurance coverage is notavailable for purchase
by name, or to the addressee's authorized agent
with Certified Mail service. However, the purchase
(not available at retail).
of Certified Mail service does not change the
Insurance coverage automatically Included with
certain Priority Mail items.
■ For an additional fee, and with a proper
endorsement on the mailpiece, you may request
the following services:
- Return receipt service, which provides a record
of delivery (including the recipient's signature).
You can request a hardcopy return receipt or an
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
Receipt attach PS Form 3811 to your mailpiece;
■ To ensure that your Certified Mail receipt is
accepted as legal proof of mailing, it should bear a
USPS postmark. If you would like a postmark on
this Certified Mail receipt, please present your
Certified Mail item at a Post Office- for
postmarking. ft you don't need a postmark on this
Certified Mall receipt, detach the barcoded portion
of this label, affix it to the mailpiece, apply
appropriate postage, and deposit the ma 1piete.
IMPORTANT: Save this receipt for your records.
Ps Form 3800, Apnl =5 (Reverse) PSN 75a0-02.000.9047
■ Complete items 1, 2, and 3.
■ 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:
Rolf Blizzard, President Vice
Pine Island- Currituck, LLC
4400 Silas Creek Pkwy
Ste 302
Winston Salem, NC 27104
111111111111111111111 IN11111111111111111111
9590 9402 4431 8248 4861 45
2. Article Number frransfer from service label)
7018 2290 0001 8043 6173
IPS Form 3811, July 2015 PSN 7530-02-000-9053
� J
COMPLETE THIS SEC71ON O
B. q3libeived by (Printed Name)
`` 1 r1 1
$Agent
❑ Addressee
C. Date of Delivery
Y, t v y t-r { i— I
Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Express®
❑ Registered Mailr"'
xSignature
Signature Restricted Delivery
❑ Registered Mall Restricted
fied Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfinnationTM
,isured Mall
❑ Signature Confirmation
Mail Restricted Delivery
Restricted Delivery
I�sured
_�ver$500)
Domestic Return Receipt
0k:. _
1,11111111111
,x First -Class Mail
Postage & Fees Paid
USPS IN"
Permit No. G-10
9590 9402 4431 8248 4861 45
United States
Postal Service
• 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
iif,iiliI! &IJIil-ilia-i'ii'1iiiif"ilillliiiiilitji,jyiiii'iij