20041223 Ver 1_Certified Return Receipt_20041108

¦ 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:
Brandywine, LLC
3209 Gresham Lake Road
Raleigh, NC 27615
DWQ# 04-1223 - Wake
? Agent
Addresse(
C.
D. Is delivery address different from item 1? ? Ye:
If YES, enter delivery address below: ? No
3. Service Type
Certified Mail ? Express Mail
? Registered Return Receipt for Merchandis(
? Insured Mail ? C.O.D.
I a Yes
2. Article N
(Transfer
DC Cnrm
UNITED STATES POSTAL SERVICE
111111 USPS
v
? ass Mail
stage & Fees
No. G-10
• Sender: Please print your name, address, and ZIP+4 iNthis box •
NC DENR Division of Water Quality
401 Oversight Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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