HomeMy WebLinkAboutNC0062634 PartialSeptember 5,2019
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 MailServiceCenter
Raleigh, NC27699-1617
P FL r�"'c
SEP 2019
Subjeet: Delegation of Signature.Authority
NVedgefield Acres M"O' OaEuaj
N'PDES Permit NumberNCO062634 11'1111�"OR.AATION FROGESSUVIG' Ulqq
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 en-viromnental agencies
specifically with the requirements for signatory authority as specified. in 15A NCAC 211-0506-
Individual 4l
Name: P Trish Bryan
Title: Compliance Specialist
15 Glenn Bridge -Road, Suite F,
Mailing Address: Arden, Vc 28704
Pkvsical.Address:
(if different)
Email, Address: tbryan@envi-rolinkine.com
Office Phone: -
Mobile Phone- 1.28 -435 - 0425
Individual -92 (if DDDucahie)
Kimber Reese
Office Manager
15 Glenn Bridge Road, Suite F,
Arden, Ric 28704
kreese@envirolinkinc-com
994 - 289 - 02213
If you have any questions regarding this letter, please feet free to contact me at hamlink4@aol-com.
Sincerely,
Kevin Hamhm Manager
VVedgefield Acres Mhp
558 Pond Read
Asheville, Ne 28806
828-275-1750
E. Submitter Signature
The Submitter (electronic signature applicant) is a user other than the Responsible Official who submits
this agreement to request to sign reports electronically. The Submitter is given signatory authority by an
individual identified as the Responsible Official by the Owner/Organizationto sign reports and other
information and to accept electronic documents.
1, Kimberly Reese printed name), am authorized by the Responsible Official name in this document, who
does have the authority under the applicable standards, to enter into this agreement for Wedgefield Acres
MHP, NC0062634 (Owner/Organization Name).
By submitting this application,1, Kimberly Reese (printed name), have read, understand, and accept the
terms and conditions of this Electronic Signature Agreement. I certify under penalty of law that 1 have
personally examined and am familiar with the information submitted in this application and all
attachments and that, based on my inquiry of those persons immediately responsible for obtaining the
information contained in the application, I believe that the information is true, accurate and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of
fine and imprisonment.
Office Manager
rublinitter Signature Title Date
kreese ,en virolinkinc.com 984-289-0213
Email Address Phone Number
*email will be the primary method of contact for the electronic submittal process so it is important to have an accurate email
available at all times
If you are a current eDMR submitter please provide your User Id:
User Id
Subscribed and sworn to before me this day of j 20
Signature of Notary Public
Printed Name of Notary Public
My Commission Expires:
(SEAL)
NCDWR Electronic Submittal Agreement Version 1
Page 5
E. Submitter Signature
� '
SEP 18 2019
The Submitter (electronic signature applicant) is a user other than the Responsible Official ,who submits
this agreement to request to sign reports electronically. The Submitter is given signatory authority by an
individual identified as the Responsible Official by the Owner/Organizationto sign reports and other
information and to accept electronic documents.
I, Tricia (Trish) Bryan (printed name), am authorized by the Responsible Official name in this document,
who does have the authority under the applicable standards, to enter into this agreement for Wed eg field
Acres MHP, NCO062634 (Owner/Organization Name).
By submitting this application, I, Tricia (Trish) Bryan (printed name), have read, understand, and accept
the terms and conditions of this Electronic Signature Agreement. I certify under penalty of law that I have
personally examined and am familiar with the information submitted in this application and all
attachments and that, based on my inquiry of those persons immediately responsible for obtaining the
information contained in the application, I believe that the information is true, accurate and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of
fine and imprisonment.
/2.[ 0 � � / ZG�IL /� �� Compliance Specialist,: �- --Q
Submitter Signature Title Date
tbryan@envirolinkinc.com 828-435-0425
Email Address Phone Number
*email will be the primary method of contact for the electronic submittal process so it is important to have an accurate email
available at all times
If you are a current eDMR submitter please provide your User Id:
User Id
Subscribed and sworn to before me this day of �d-MY
Signature of Notary Public
My Commission Expires:
(SEAL)
NCDWR Electronic Submittal Agreement Version 1 Page 5