20170081 Ver 1_Certified Receipt_20170317

■ Complete items 1, 2, and 3. Also complete
item 4 if flestricted Delivery is deslred.
■ 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 mailplace,
or on the front If space permks.
1. Article Atltlressetl to:
Mr Larry Thompson. Div. Environtmental Offcer
NCDOT. Divison 10
716 West Mam Street
Albemarle. NC 28001
A. Signa:�re
X
B. Receivedby(Pn'nfedNameJ
❑ Agent
C. Date of Delivery
D. Is delivary eddress diffe�ant from ttem 17 ❑ Yes
If YES, enter delivery atlGress below: ❑ No
3. ServlceType
❑ Certified Mail ❑ Express Mail
❑ Repls[ered ❑ Retum Receipt for Merchendise
❑ Insured Mail ❑ C.O.D.
4. Restncted Delivery! (Exira Fee) ❑ Yes
2. nrtic�eNumber 7008 1300 00�0 1124 2562
(Tiansler Irom service /abel)
PS Form $811, February 2004 Domestic Return Receiot mzsssoz-m-tsao

UNITED STAlES POSTAL SERVICE
iii
First-Class Mail
Postage & Fees Paid
USPS
Permit 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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Pmlege I S
camm�a F� �
� Poelmerk
� (EMorsement Req� u�lretl) Here
� ResGkYetl DelNery Fee
(Endorsament ReQuireO)
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nTotel Pwtege 8 Fees .$ ��� I��' l� I
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❑ Mr. Larry Thompson. Div. Environtmental Officer
� NCDOT. Divison 10 """'
�
716 West Main Sireet ---.
Albemarle, NC 28001

�erlified Mail Provides:
� Amailingreceipt
• AuniqueitlentiHerforyourmeilplece
■ A record W CelNery kept by Ne Postal Service for two years
Tportenf RMnlntle/8:
� CeniNed Meil may ONLV be combined wiM� FlrsFClass Meib or PrioMy Maly
� CertiNetl Mall Is Irot avellable for any clees of Intematbnel mail.
� NO INSURANCE COVERAGE IS PROVIDED with CertHieA Mail. Fo
valuebles, pleeae consitler Insuretl or Reglsteretl Mall.
� For en atltlttlonal fee, a Retum Rece!pf iney be requested ro provide proof o1
tlelivary. Ta obmin Retum Fecelpt servire pease complete antl ettech e ReNrt
Recelpt (PS Form 3811� to MB erticle antl atltl epplMsblB postega to cover thE
fee. Enclorse mellpiece ReNm Receipt Requesled'. To recehre a fee walver fq
a tluplicete retum receipt, e USPSm postmark on your CertRietl Mail recelpt 4
requved.
■ For an atltlttlonel fee, tlelNery may be reatrkMed to iha addreasee o
addressee's euthorizad agent AWise the clerk or mark Ne meilpiece wlth tM
endorsement 'Resbkfed Delivery'.
■ If e poatmark on the CertHied Mail recelpt Is tlealre0. Glease preae�t the art
cle at the post oXice for postmerking. If a postmerk on the CertHietl Mal
receipt is not neetled, tletach entl aRix label with poatege and mail.
MPOHTANT: Save this receipt an0 present it when makinq an Inquiry.
'S Form 3800, AugueI200G (Reverae) PSN ]530-02-000-904]