NC0021644_NOV-2024-LV-0371 GC_20240502

■ Complete Re" 1,2, and 3. s��
■ Print your -name and addres
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 AddTecud'n-
Sk,"n M. Condon
Toi-ri of LaGrange
PC Box 368
l a rranae. NC 28551
II I IIIIII IIII III I II II I I II II I I I III IIII I II I I I III
9590 9402 8782 4005 4560 85
9589 0710 5270 0283 9421 48
❑Agent
❑ Addressee
Ite.9f Delivery
D. Is delivery address different from Rem t7 P-YeE
If YES, enter A ^v rytren"Ow: No
Water Ot ons section
Fie glonelOPE 1r's I Offl ce
ReD
Service Type
Adult Signature
Adult Signature Restricted Del"
Cedilled Mail®
canted Mal Restricted Delivery
Collect on Delivery
Collect on Delivery Restricted Delivery
I Mail
I Mail Restricted Delivery
snm
D Priority Mall Express®
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❑ RegIs[ered Mail Restricted
Delivery
❑ SignatureConlrmatlonT"
❑ Signature Confirmation
Restricted Delivery
Ps Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt

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9590 9402 8782 4005 4560 85
United States
Postal Service
Mail
Fees Paid
Permit No. G10
• Sender: Please print your name, address, and ZIP+4® in this box.
NCDEQ
Division of Water Resources
t v 943 Washington Square Mall
Washington, North Carolina 27889
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