HomeMy WebLinkAboutNC0003042_Signature Authority_20210715 Date: J �` �C ) Zo z 1
Wastewater Branch RECEIVED
Water Quality Permitting Section 15 2021
Division of Water Resources Mt_
1617 Mail Service Center
Raleigh, NC 27699-1617 NCDEQIDWRiNPDES
Subject: Delegation of Signature Authority
Facility Name:
NPDES Permit Number: N I C Io I ' k 131 .5I 4 I zl
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:
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Title: fv,15 s 6.. 5 er vtco5 70
Mailing Address:
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12 *Cl-10 Y tj c— •`i5-i
Physical Address: '1`1
(if different) Ro x6i. Af C.-
Email Address: <1/4Cb Ca.ctk ofroo,ord.CAA%
Office Phone: 336 S c 3
Mobile Phone:
If you have any questions regarding this letter, please feel free to contact me at either the phone
number or email address below.
Sincerely,
Authorized Signing Official's Signature
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Authorized Signing Official's Name (type or print) Title
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Mailing Address
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Email Address Q
503 .0 -Oil
Office Phone Mobile Phone
cc: R.Gat s Regional Office, Water Quality Permitting Section
(Enter region name)