20061073 Ver 2_Certified Return Receipt_20080728

¦ 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:
A. Signature
X
B. Received by (Printed Name)
D. Is delivery address
If YES, ent%A j
? Agent
C. Date of Delivery I
1? ? Yes
? No
4\
A for Wrch
North Carolina Department of
Health and Human Resources Attn:
Mr. Ron Fuller 2001 Mail Service ji 11 2 8
Center Raleigh, NC 27699-2001 3. rvice Type
DWQ# 06-1073-v2-Lenoir Certified Mail ? Express Mail
d? g' ter /nQ rrpT,Recei
? Ins lVsn I?.L' fl C! D:'a nZ
4.
Fee) ;?(] Yes
2. Article Number
(Transfer from sen 7008 0150 0001 3901 3907
I PS Form 3811, February 2004 Domestic Return Receipt 102595-o2-M-1540'
UNITED STATES POSTAL SERVICE
LISPS
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree 43oulevard, Suite 250
Ralei-, NC 27604
First-Class Mail
Postage & Fees Paid
Permit No. G-10
I11III11111111111111111111111111111111111111111111111111811111