20071222 Ver 2_Certified Return Receipt_20071107

^ 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.
Article Addressed to:
Mr. Taylor Blackley
Blackley Design Group
700 Exposition Drive
Raleigh,NC 27615
DWQ# 07-1222-v2-Johnston
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A. ;in~_
~= f ` ~~~ ^ Agent
^ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
3. Service Type
I~ Certified Mail ^ Express Mail
O/`]`I '' Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(Transfer from service label) -
- - - --
PS Form 3811, February 2004
7007 1490 ~~03 5602 39],1
Domestic Return Receipt
102595-02-M-1540

UNITED STATES POSTAL SERVICE
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree [3oulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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