WQ0016165_Signature Authority_20230426

4/26/23
Division of Water Resources
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To Whom It May Concern:
Subject: Signature Authority Designation
As an appropriate signing official for Cly J 4ex:nq+Ord (city/town/
county or business name) as designated by 15A NcAC 2T .0106, I h6kby 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
o,sor
es
heed !S � ac �Otir�
W(ZOOIC 6�
�'�i o
nsS Art h er Re36wrces bec+of
If you have any questions, please contact me at the following:
Permittee/Applicant name (please print): 7oN1 JAA
Title: �Jer f e-5OSLrccs trec+Or
Complete mailing address: 20 CeAa s+.
City: Le ; rOn State: C Zip: 272 i z
Telephone number: 3� ) 24� $ - 3 9 30 Email: T� hrl I�ci� T�nc.
STO.-C,
— Z_ �J
Signature