20072160 Ver 1_Certified Return Receipt_20071220

^ 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:
Smith Reynolds Airport
Attn; Larry Scantlin
3801 North Liberty Street
Winston-Salem,NC 27105
~WQ# 07-2160-Forsyth
A.
/ ^ Agent
~~?~ ~ ~G~'aL%'~-~' ^ Addressee
B. Received b tinted Name C. Date o v
D. Is delivery address different from item 1? lJfYes
If YES, enter delivery address below: ^ No
3. Service Type
^ Certified Mail ^ Express Mail
^ Registered ^ Return Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 7007 2560 0001 1381 5075
(transfer from servir ,
PS Form 3811, February 2004 Domestic Return Receipt to25ss-o2-M-tsao

UNITED STAT~ ~,Q6~jA~_~~RVI~~~ ~ ~"~, i.1 sL° '1 .'.~ r ~>
• Sender: Please print your name, address,~a
~~,..
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P+4 in
NC DENR Division of Water Quality
401 OversightlExpress Unit
2321 Crabd-ee Boulevard, Suite 250
Raleigh, NC 27604
Paid
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