20060646 Ver 1_Certified Return Receipt_20060524

^ Complete items 7, 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:
Mr. David Rose
2687 Old Bailey Highway
Nashville,NC 27856
DWQ# 06-0646-Nash
2. Article Number
(Tn3nsfei from service IabeQ
Ps Form 3811, February 2004
A. Signat~
^ Agent
B. Received by (Printed Nam C. Date of Delivery
liU ~~ I 1 ~ ~ ~. ~-,--~ s -~ ~-~
D. Is delivery address different from item 17 ^ Yes
If YES, enter delivery address below: ^ No
3. Service Type
Certified Mall ^ F~cpress Mall
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
7p05 1160 0~~~ 9~95~+ 6955
Domestic Return Receipt 102595-02-M-1540 i

UNITED STATES POSj~°'c(IC~tE T~~'IY~~'1..;~3~~A~T•
' '~=c y~'';.~:'`s"' ;?:x."44; 'F"$++4
os a aid
;~ ~r~M
• 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
i} if i ii ?i i f i! i i ii ii i i ii ii i
_ _ _ ~ 1:: i:ii:::iji?: •• .:•:i;i::i:i: i; ••:::i;::' :ii: :ii:~
.... .. ..iii::i i::... ... t :.... ..... ...... ...