20170150 Ver 1_Certified Receipt_20170224

■ Complete items 1, 2, and 3. Also complete
item 4 if Restncted Delivery is desired.
■ Print your name and address on the reverse
so that wa can return the card to you.
■ Attach this card to the back of the mallpiece,
or on the front If space permks.
t. Article Addressetl ro:
Mr Heath Slaughte[ Environem[nal Officer
NCDOT Drvisoin 11
801 Statesville Raod
North Wilkesboro NC 28659
A. Signature
X
B. Recaived by ( Pnnted NameJ
❑ Agent
C. Date of Delivery
D. Is delivery address diflerent hom ttam 77 ❑ �es
If YES, enter dellvery adtlress below: ❑ No
3. ServiceType
❑ CeNfled Mall ❑ Express Mail
❑Registered ❑ReWmRecelptforMerchandise
❑ Irisuretl Mall ❑ C.O.D.
4. ResMcted Deliveryt (Extra Fee) ❑ Y�
2. ArticleNumber 70�8 1300 0000 1124 2555
(!)ans(er /rom serv/ce leben
PS Form 3811, February 2004 Domestic Retum Receipt iozs9w2-r.�-isao

UNITEO STATES POSTAL SERVICE
iii
FirsbClass Mail
Postage 8 Fees Paid
USPS
Pertnit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Division of Water Resources
Wetlands Branch
Kristi Lynn Carpenter
1617 Mail Service Center
Raleigh NC 27699-1617

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� Posbnark
� Retum Receipt Fee Here
] (Entlorsement ReQUIreO)
� Reslrkletl 0e11ve7 Fee
] (EnEoreement Repulretl)
n Toiel Poste9e & Faea $ �(i 1� Q �� L,1
i
ent o —
° Mr Heath Slaughter. Emironemtnal Officer
� Slreei,-APi'Ne NCDOT Dro�soin 11 � �
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� ci'ry:sieia,-zir 801 Statesville Raod .-.
North Wilkesboro NC 28659

Certified Mail Provides:
■ Amailingreceipt
■ Auniqueitlentifierforyourmailpiece
■ A recorU M tlelivery kept by the PoStel Service tor iwo years
importent Rem7ntlers:
■ Certifietl Mail may ONLV be combinetl with First-Clasa Meil� or Priority Maip
• Ceniiletl Mall is not aveileble for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo
valuables, please consitler Insuretl or Registered Mail.
■ For en additional fea, e Retum Receipt may be repuestetl to provitle proof o�
tlelivery. To obtein ReNm Receipt service, pleese complete aM anach e Retun
Receipt (PS Form 3811) to ihe arlicle antl atltl applicable postage to cover ih�
fee. Endarse meilpieca'Retum Recaipt Requested'. To receive a fee waiverfoi
a duplicate reNm receipt, a USPS� postmark on your Canifietl Mail receipt i;
reqwred.
■ For an adtlitional fee, tlelivery may he restricted to ihe addressae o
addressee's authorizetl agent. Ativise ihe clerk or merk Ihe mailpiece with ihi
entlorsement 'ResMcted Oelivery".
■ If a postmark on ihe Certifietl Mail receipt is tlesired, please present the ani
cle at the post oHice for postmarking. If a postmark on the Certitiatl Mai
receipt is not neetletl, tletach antl affix lebel with postage and mail.
IMPONTANT: Save this receipt antl present fl whan making an inquiry.
'S Form 3800. Aug�st 2006 (ReverseJ PSN 1530-02-000-9041