NC0020389_Signature Authority_20220701

RECEIVED
JUL 01ZOZZ
Ju 9 9 June 29, 2022 NCDEQI®�RINp®ES
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: Delegation of Signature Authority
ENTER FACILITY NAME Town of Benson/Benson WVVTP
NPDES Permit Number NC NC0020389
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 (f applicable)
Name: Brian Leavitt
Title: WWTP Superintendent/ ORC
Mailing Address: 770 Hannah Creek Road
Four Oaks, NC 27524
Physical Address:
(if different)
Email Address: [e-mail]
Office Phone: [phone] - -
Mobile Phone: [phone] - -
If you have any questions regarding this letter,please feel free to contact me at Enter Email or Phone
Number. (Listed Below)
Sincerely,
U
Authorized Signing Official's Name Kimberly Pickett
Authorized Signing Official's Title Interim Town Manager
Mailing Address 303 East Church Street, Benson, NC 27504
Email Address [e-mail]
Office Phone [phone]
Mobile Phone [phone]
cc: Select a region Regional Office, Water Quality Permitting Section