WQ0004823_NOV-2019-LV-0836 GC_20191119

9590 9402 5158 9122 7688 59
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
er: Please print your name, address, and ZIP+4® in this box•
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889

—/t/—
■ 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 Creel( Pkwy
Ste. K2
Winston Sa;em, NC 27104
11111111111111111111111111111111111111111111
9590 9402 5158 9122 7688 59
2 Artirlp Numhwr /Transfpr from cprvlep /shall
7018 0360 0001 9842 8553
A. Signature
X "
B. eceived by (Printed Name) C.
ent
O Addressee
U-IAAIIS I It �5
D. Is delivery addIMs different from item i? O Yes
If YES, enter deli6lrr3 address below: E}f or
*0v1 �o
I
9
3. Service Types` ;; y;;' r ;sy
❑ Prlodty Mail Express®
❑ Adult SignaturA' =, ` t n
Reg*-i,(f Ii%ry
❑ Registered MaIITM
Mall Restricted
❑�ldutt Signature
❑Registered
Delivery
PSC rutltied Mail®
AW
❑ Cert"W Mall Restricted
❑ Retum Reoelpt far
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfinnatlonTM
Insured Mail
❑ Signature Confirmation
Insured Mall Restricted Delivery
Restricted Delivery
_ (overQ500)
PS Form 3811, July 2015 PSN 7530-02-000_9053
Domestic Return Receipt