20140090 Ver 3_Certified Mail Receipt_20160509

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0 o Mr. Pat Ivey, Division Engineer �
�` r` ���: � NCDOT Divsion 9 q """"""
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______________. 375 Silas Creek Parkway �' _________
�'�'��4 Winston Salem, NC 27127 �
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�ertified Mail Provides: ��,e,,ey� zoo� eunr'ooae �++od sd
� A mailing receipt
� A unique identiHer for your mailplece
� A record of delivery kept by the Postal Service for two years
mportant Reminders:
� Certified Mail may ONLY be combined with First-Class Mail� or Priority Mail�
■ CeRifled Mall is notavailable for any class of fntemational mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certifled Mail. For
valuables, please consider Insured or Registered Mail.
■ For an addftional fee, a Return Receipi may be requested to provide proof of
delivery. To obtain Retum Receipt service, pfease complete and attach a Retum
Receipt (PS Form 3811� to the articie and add applicable postage to cover the
fee. Endorse mailpiece. Retum Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS� postmark on your Certified Mail receipt is
reqwred.
■ For an additional fee, delivery may be resMcted to the addressee or
addressee's authorized agent. Advfse the clerk or mark the mailpiece with the
endorsement 'Restricted Delivery'.
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cie at the post office for postmarking. Ii 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.
Internet access to deiivery information is not available on mail
addressed to APOs and FPOs.

■ 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.
1. Article Addressed to:
Mr. Pat Ivey, Division Engineer
NCDOT Divsion 9
375 Silas Creek Parkway
Winston Salem, NC 27127
A Signature
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different hom item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certifted Mail
❑ Registered
❑ Insured Mail
❑ Fxpress Mail
❑ Retum Receipt for MerChandise
❑ C.O.D.
4. Restricted Deliver�/T (Extra Fee) ❑ Yes
2. Artic�eNumt�er 7�03 2260 ��05 5382 9820
(1'ransfer fiom service label)
� PS Form 3811. FebruarY 2004 Domestic Return Receipt 102595-02-M-1540 ;

UNITED STATES POSTAL SERVICE
First-Class Mail I
Postage 8 Fees Paid I
USPS j
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Division of Environmental Quality
1617 Mail Service Center
Transportation Permitting - Wetlands
Kristi Lynn Carpenter
Raleigh NC 27699-1617