NC0020834_Signature Authority_20160723

June 22,2016
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617 JUN I-8 :)w,
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Subject: Delegation of Signature Authority Ih1FnPMAT10N PPnrj:S91K1r,t1NII
WARREN COUNTY-WWTP
NPDES Permit Number NC 20834
'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: William R. Perkinson
Title.-, Public Works Director
Mailing Address: Po Box 281,Warrenton, NC 27589
'Physicaf Addtdss:' 738 Us Highway 401 South,
(iftliffere►it)'- Warrenton,Nc 27589
Email Address: ..
publicwo [e-mail]
v
-OOffice'Ph6ne:.. 252-257 - 1776 - -
IVlabile Phone: [phone] - -
If you have any questions regarding this letter,please feel free to contact me at
[e-mail].
Sincerely,
Robert Davie
Town Administrator
Po Box 281,Warrenton,Nc 27589
Townadmi [e-mail]
252-257-1122
919-656-7142
cc: Raleigh Regional Office,Water Quality Permitting Section

eDMR Owner Verification Report
Permit No.: NC0020834 Version: 4.00 Permt Status: Active .
Owner/Permittee: Town of Warrenton
Responsible Official: Robert Davie
Resp.Official Title:
Facility Name: Warrenton WWTP
Facility Address: W9 U-5 MtTIg. #01 S
Warrenton, NC 27589
Registered for eDMR? : No
Facility Classification: WW-3, _
ORC Name Certification# Cert Status ORC Designation
Perkinson,William R. VM-4./987831 Active ORC
Champion,Kenneth W. WW-2/990384 Active Backup
Davis,Oscar WW-4/995445 Active Backup
Pago#: t
bate: 612212016