20050203 Ver 1_Certified Mail Receipt_20050228

^ 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.
Article Addressed to:
Prater & Gamble
6200 Bryan Park Road
Browns Summit, NC 2721.4
DWQ# OS-0203 -Guilford
A. Signature ~ y i ~r~y t~ c:~~>=t~%/~
L ,/1, Agent
X ~r7 ~~ C"~ ~ C C/ ^ Addressee
B. eceived by (Printed Name) C. Date of Delivery
~/~/~~~~ ;~ -z~-as-.
D. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
3. S rvice Type
Certified Mail O Egress Mail
Registered ~ Retum Receipt for Merchandise
^ Insured Maii C.O.D.
4. ResMcted Delivery? (Extra Fee) ^ Yes
2. Article Number
(fn3nsfer Irom service fabeQ 7 0 0 4 2 510 ~ 0 ~ 6 3 3 51 6 9 9 3
PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604