20180612 Ver 1_Certified Receipt_20180725

UNITED STATES POSTAL SERVICE 111111
• Sender: Please print your name, address, ar
DEQ/DIVISION OF WATER RESOUZO
401 & BUFFER PERMITTING BRANCH
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
First -Class Mail
Postage & Fees Paid
USPS
Emit No. G-10
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■ 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 wer can return the card to you.
■ Attach this card to the back of the mallplece,
or on the front If space permits.
1. Article Addressed to:
C i v't 1 �i ►� �CQp�S
tug
A.
X
B. Received by (Printed Name)
0 Agent
C. Date of Delivery
D. Is delivery address different from Rem 11 0 Yes
If YES, enter delivery address below: ❑ No
3. lype -- -
Certffled Mall 0 Express Mail
0 Registered 0 Rewm Receipt for Merchandlsi
0 Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number 7006 2150 0005 7360 9571
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Certified Mail Provides:
■ A mailing receipt
■ A unique Identifier for your mallplece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mailo
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Retum Recelpt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Returr
Receipt (PS Form 38111 to the article and add applicable postage to cover thi
fee. Endorse mallpieos Return Receipt Requested'. To receive a fee waiver for
a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee of
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement 'Restricted Delivery'
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mal.
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7630-02-OOD-9047

(Domestic Mail
� For delivery inform.
n Postage $
Certified Fee
Return Receipt Fee Postmark
ZI (Endorsement Required) Here
Restricted Delivery Fee
(Endorsement Required)
.n
'9 Total Postage & Fees $
U
J3 Sent To
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