20150029 Ver 1_Certified Mail Receipt_20151201

�■ Compiete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
�■ Print your name and address on the reverse
I so that we can return the card to you.
I■ Attach this card to the back of the mailpiece,
I or on the front if space permits.
� 1. Article Addressed to:
j Mr. Reuben , P.E., Division Engineer
I Division 12 - NCDOT
� P O Box 47
� Shelby , 28151-0047
I
�------- --- ---
I
I 2. Article Number
� (Tiansfer from serv/ce /abeq
� PS Form 3811, February 2004
A. Signature i
X ❑ Agent ;
❑ Addressee !
B. Received by ( Printed Name) C. Date of Delivery �
I
D. Is delivery address different from item 11 ❑ Yes �
If YES, enter delivery address below: ❑ No �
� I
i I
' �
i �
I 3. Service Type � �
I❑ Certified Mafl ❑ Exp2ss Mail �
❑ Registered ❑ Retum Receipt for Merchandise �
❑ Insured Mail ❑ C.O.D. ;
4. Restricted Deliver�/1(Extra FeeJ ❑ y�
7�13 3020 0��� 7632 0253 J �
Domestic Retum Receipt �o25ss-o2-nn-i5ao �

UNITED STATES POSTAL SERVICE
First-Class Mail
Postage 8 Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
�- ---- -- - - -
NC DEQ
Division of Water Resources ,
Wetlands Branch - Amy Chapman
�_ 1617 Mail Service Center
� Raleigh NC 27699

U.S. Post�al ServiceTM
CERTIFIED MAILTM RECEIPT
(Domestic Mail Only,; No Insurance Coverage Provided)
Postage �
Certified Fee
Postmark
Retum Recefpt Fee Here
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees I �
senrro ' Mr. Reuben , P.E., Division Engineer
Street, ApEIVo.; Division 12 - NCDOT .------------
or Po sox No. � P O Box 47
--------------------- Shelb 28151-0047 �----...-----
City, Slate, Z/P+4 j Y�
�
�� :��

Certified Maii Provides: �
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail� or Priority Mailp.
■ Certified Maii is not available for any class of international mail. '
e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article 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 tFie
endorsement "Restricted Delivery".
■ 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 Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047