20040165 Ver 1_Certified Return Receipt_20040226

¦ 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: M ore- 7-n
PS/SE Ballentine Farms, LLC
2514 Reliance Avenue
Apex, NC 27502
DWQ# 04-165 - Wake
A. Signature
X Agent
? Addressee
B. Received by (Printed Name) C. D„@te of geiiyer
D. Is delivery address different from Item 14 ? Yes
If YES, enter delivery address below: ? No
3. Service Type
certified Melt 0 Express Maii
13 Registered 0 Retum Receipt for Merchandim
? Insured Mall ? C.O.D.
4. Restricted Delivery? (Extra Pee) ? Yes
2. Article Number 7002 2 410 0003 0275 4063
Marwisr from service k beq
DS Form 3811, August 2001 Domestic Return Receipt 102595.02-M•154
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UNITED STATES POSTAL SERVI ? I R14 A,
r+ A 8 p8?d
4i p M r ?? .
• Sender: Please
FEB 2 7 2004
NC: DENR Division of Water Qft&t ER QUA`1TySECTION
Wetlands/401 Certification Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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