20150029 Ver 1_Certified Return Receipt_20151215

�■ 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.
e Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
a si9 ��
X �� %� Agent
�� ❑ Addressee
�Received by (Prinyed� N� ) C. Date of Delivery
i�7 � C- - �til-�! 6/''"^' ,� - t a-15
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
-Mr. Reuben , P.E., Division Engineer �,
Division 12 - NCDOT �
P O Box 47 �
I 3. Service Type
Shelby , 28151-0047 ❑ Certified Mail ❑ Fxpress Mail
� � ❑ Reglstered ❑ Retum Receipt for Merchand(se
-- — --- — -- -- ---- - -----I � Insured Mail ❑ C.O.D.
2. Article Number , t ; � ; ; �� r � ;�
��v� ' � °- �.,—..--, = -��.s
, ,sl,
orm , February
I 4. Restricted Deliver�? (Extra Fee) ❑ Y�
;302��,0�;00;�7s63;2 �25;3� ;
!ic Retum Receipt
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UNITED STATES�6St�L �E�VICE�
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• Sender: Please print your name, address, and ZIF+4.i�,�his box •
�
NC DEQ
Division of Water Resources '
Wetlands Branch - Amy Chapman �
1617 Mail Service Center ,
Raleigh NC 27699 �
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