NC0089052_Signature Authority_20191223

Date: 12 -,A
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: Delegation of Signature Authority
Facility Name:
NPDES Permit Number: NICI 01 0 I 8 19 10 15 12 I
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: Alan Reitzel Gaddis William Keith McDonald
Title: ° Wastewater Consultant Operator in Responsible Charge
° 6119 Asheton Drive 3427 Katrina Drive
Mailing Address: Trinity,N.C. 27370 Thomasville,N.C. 27360
Physical Address:
(if different)
Email-°Address: [e-mail] [e-mail]
Office Phone:
Mobile Phone:, 336-561-9178 ° 336-905-1717
If you have any questions regarding this letter, please feel free to contact me at either the phone
number or email address below. a""
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Email Address
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Offi e phone Mobile Phone
cc: Winston Salem Regional Office,Water Quality Permitting Section
(Enter region name)