NC0041866_Signature Authority_20200115

4(1,,
Travis L.Reeves,Ed.D. BOARD OF EDUCATION
Terri E.Mosley,Ed.D.
Jill Y.Reinhardt,Ed.D )11/11r n^a
= Clark G.Goings
Kevin T.Via
Sexton Earlie Coe
SURRY COUNTY SCHOOLS BrianK.Moser
Mamie M.Sutphin
January 15, 2020
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources RECEIVED
1617 Mail Service Center
Raleigh, NC 27699-1617 JAN 2 1 2020
Subject: Delegation of Signature Authority N ,�EQIDWR��P�ES
MOUNTAIN PARK ELEMENTARY
NPDES Permit Number NC0041866
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506.
Individual#1 Individual#2 (if applicable)
Name: Jessica Mize Baron Neal Mcduffie
Title: Administrative Assistant Field Services Manager
106 Short Street Kernersville, Nc 106 Short Street Kernersville,Nc
Mailing Address: 27284 27284
Physical Address:
(if different)
Email Address: [e-mail] [e-mail]
Office Phone: [phone] 336- 996- 2841
Mobile Phone: - - - -
If you have any questions regarding this letter, please feel free to contact me at 336-386-8381.
Sincerely,
i„,tat e
Robert K. Draugh
Director Of Plant Operations
Surry County Board Of Education
110 Cooper St. Dobson,Nc
Draughnr@Surry.K 12.Nc.Us
336-386-8381
cc: Winston-Salem Regional Office, Water Quality Permitting Section

RESEARCH &ANALyTicAL Sent Via UPS Ground
LAbORATORiES, INC. DMR Checklist Tracking# IZ 209 959 03 5404 8923
Ano'Yncd/Process Consultations Page: 1 of 1 Prepared by JM
Date: 1/16/2020 Checked b\ JM
Attention: Wastwater Branch/Water Quality Permitting Section/Division of Water Resources
Discharge Monitoring Report-(DMR) - System ID# Discharge# Checked by Checked
Alamance County Schools/Altamahaw Ossipee NC0045161 001 0 0
Alamance County Schools/B.E.Jordan Elem. NC0045152 001 0 0
Alamance County Schools/Sylvan Elem. NC0045128 001 O OO
Alamance County Schools/Western Alamace High NC0045144 001 0 0
Alamance County Schools/Western Alamace Middle NC0031607 001 0 0
Caswell County Schools/South Elementry NC0086983 001 0 0
Central Care Rest Home NC0038822 001 O OO
Creekside Manor NC0037311 001 © 0
Jacob's Creek Nursing NC0044750 001 0 0
Quarterstone Farm Homeowners NC0066966 001 OO 0
Surry County Schools:
Mountain Park NC0041866 001 tEl 0
DELEGATION OF SIGNATURE AUTHORITY LETTERS
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh,NC 27699-1617

RESEARCH &ANALYTICAL Sent Via UPS Ground
• L.AbORATORiES, INC. DMR Checklist Tracking# 1Z 209 959 03 5404 8923
Analytical/Process Consultations
Page: 1 of 1 Prepared by JM
Date: 1/16/2020 Checked by JM
Attention: Wastwater Branch/Water Quality Permitting Section/Division of Water Resources
Discharge Monitoring Report-(DMR) - System!D# Discharge# (7recked by Checked
Alamance County Schools/Altamahaw Ossipee NC0045 161 001 OO OO
Alamance County Schools/B.E.Jordan Elem. NC0045152 001 El O
Alamance County Schools/Sylvan Elem. NC0045128 001 O OO
Alamance County Schools/Western Alamace High NC0045144 001 OO OO
Alamance County Schools/Western Alamace Middle NC0031607 001 O O
Caswell County Schools/South Elementry NC0086983 001 O O
Central Care Rest Home NC0038822 001 OO O
Creekside Manor NC0037311 001 O O
Jacob's Creek Nursing NC0044750 001 OO O
Quarterstone Farm Homeowners NC0066966 001 O O
Surry County Schools:
Mountain Park NC0041866 001 O O
DELEGATION OF SIGNATURE AUTHORITY LETTERS
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh,NC 27699-1617