20170081 Ver 1_Certified Return Receipt_20170328

■ Complete items 7, 2, and 3. Also complete A. Signatum�
item 4 if Restricted Delivery is desired. � l
■ Print your nama and address on the reverse „_ •- �� ��'"� Z V� l�
so that we can retum the card to you. - B. Re elvetl by (Pnntetl Ni
■ Attech this card to the back of the mailpiece,
or on tha front If space permlts.
Article Atltlrassed ro:
Mr Larry Thompson. Div. Environtmental O/ficer
NCDOT Divison 10
716 West Main Street
Albemarle, NC 28001
❑ Agent
`�- L7 Addressee
C. D�te ot Oelivery
�-�CP /.
O. Is delNery adtl�ess dHFerent hom ttem 17 ❑ Yes
If YES, enter tlelivery address below: ❑ No
3. Service Type
❑ Cert�ed Mail ❑ Express Mail
❑ Registered ❑ Retum Racelp[ tor Merchandise
❑ Insured Mall ❑ C.O.D.
4. Rasiricted �ellver� (EMra Fee) ❑ y�
2. MIcleNumber 7�08 1300 0000 1124 2562
(iransler from seMce laben
'S Form 3$11, FebruaN 2004 Domestic Return Receipt io2595�o2�M-15ai

UNfiED STATESLP�.O„S�AL:.�.SE�O(1F_�
i i i
iii
FlBUCIess Mall
Postage 8 Pees PaW
USPS
Pertnk No. G10
• Sende�:'#31e�A�e 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
ili���i�i��n���,��m�lluii����irnlii,i��p,ii��i,�q�„iull

,, : .;
pw�ege S
CerlHletl Fee
RaNm Racelpl Fee P�e�
(EMw9emenl Requlre0) Here
ResVktetl �elNary Fea
(ErMorsement Required)
To�al Pwtage 8 Fees I$ I �� "
�I�v����
Mr. Larry Thompson. Div. Environtmental Officer
NCDOT, Divison 10 ""'1
716 West Main Street .....
Albemarte. NC 28001

Cerlified Mail Provides:
■ A malling receipt
■ A unique ItlentXier for your meilpiece
■ A reCord of delNery kept by Ihe Postel SBrvICe for two yeere
Nnportanf RemUMen:
■ CertiNetl Mail mfly ONLY be comblrred wNh FlreFC�ass Meib or Priority Maip
■ Certifletl Mail Is irot avellable for eny cless of intematlonal mail.
■ NO INSURANCE COVERADE IS PROVIDED wNh CertHietl Mall. Fo
veluebles, please conskler Inaured or Registeretl Meil.
■ For en atltlltlonal fee, a Retum ReceJpt m�y�r �u �edantl atleCdh a Relurt
delhrery. To obtain Retum Recelpt servica f
RBCBipt (PS Fortn 3811� to the artble entl atltl eppliCeDle p08�ege to Cover tlle
fee. ErMorae meilpiece ReNm Recelpt Requeatetl'. To receive e fee waiver fa
e tluplicete reW m receipt, a USPSp postmerk on your CarllHed Mail receipt k
requued.
■ For en etltlttionel fee, tlelivery mey De reatricteG to t�e fltltlreasee o
etldressea's euthorized apent. Advise Me clerk or merk the mellpiece with tM
entlorsement 'ReatricMed Delivery'.
■ If a postmark on the Certifietl Meil receipt is tleairetl, Cleeae present the ertF
cle at ihe post oXice for postmarking. If a postmerk on the CertHietl Mel
recelpt is not neetled, datech end eXix label with postage end mall.
MPOHTANT: Save this receipt and presant It when makinp an inqulry.
'S Form 3800. Aupuat 200fi (Reveisel PSN ]530-02-0OQ904]