20080208 Ver 1_Certified Return Receipt_20080312

-yQ
1U14
¦ 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:
Mr. Jerry Pace
13388 Buffalo Road
Clayton,NC 27527
DWQ# 08-0208-Johnston
.... .
A.
? Agent
B. Received by (Prihted Name) C. Date of Delivery
P: !4 yUiY/,' -C v ;-/' -C-'
D. Is delivery add different from item 1? ? Yes
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 3220 0000 1325 3391''
(transfer from service W
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 i
UNITED ST, PQ TAL SERy,IGE. "V' -:
1-5 c' '-z • Sender: Please print your name, address, and ZIP+41r) thishox • _.

NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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