NC0038822_Signature Authority_20200113

January 13,2020
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh,NC 27699-1617
REC
Subject: Delegation of Signature Authority JAN 21 2020
CENTRAL CARE WWTP EtVED
NPDES Permit Number NC0038822lCFIP1A/RlNPDES
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: Jessica Mize Baron Neal Mcduffie
Title: Administrative Assistant Field Services Manager
106 Short Street Kemersville,Nc 106 Short Street Kernerville,Nc
Mailing Address: 27284 27284
Physical Address:
(f different)
Email Address: [e-mail] [e-mail]
Office Phone: 336 - 996 - 2841 336 - 996 - 2841
Mobile Phone: - - - -
1
If you have any questions regarding this letter, please feel free to contact me at 336-320-2185.
Sincerely,
p
David Payne
Owner
Central Care, Inc
139 Apex Lane
Mt.Airy,Nc 27030
[e-mail]
336-320-2185
cc: Winston-Salem Regional Office, Water Quality Permitting Section