WQ0019908_Signature Authority_20201217

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To Whom It May Concern:
NORTH CARPLINA
Environmental Quality
DATE
Subject: Permit No. WQ00#####
Signature Authority Designation
FACILITY
PERMIT TYPE System
COUNTY County
As an appropriate signing official foro4_7-L,1f Z.L(Cc�ity /town or
business name) as designated by 15A NCAC 2T .0106, I hereby delegate authority to sign and certify all
permit applications, reports or other permit related documents to the following staff for the following
permit types (sewer, spray, land application) and/or permit numbers:
Position
Person
Currently in
Position
Permit Type
or Permit
Number
If you have any questions, please contact me at the following:
Permittee/Applicant name (please print): / 14V16 L—. l ,
Title: 1-4 0 M P,4 di V eO,{i>1= //y 1,�4 L
Complete mail
City:
Telephone nun
signature
/V"C/. , Zip: 7 5 7
Facsimile number: (9,117 ) 13 4— "7 70 Z
GAEQNorth Carolina Department of Environmental Quality I Division of Water Resources
00 512 North Salisbury Street 11617 Mail Service Center Raleigh, North Carolina 27699-1617