NC0040355_Signature Authority_20011105

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GOLDIE
ASSOCIATES
engineering, environmental
and laboratory services
To Our Clients:
We have been asked by the North Carolina Department of Environment and Natural
Resources to have our clients authorize us to sign for the Permitee on the monthly
monitoring report for your wastewater treatment plant that we complete for you and mail
to the State. If you prefer,we will send the completed forms to you for your signature.
You would then need to mail them to the State in duplicate.
Please indicate your preference on the form below and return it to us.
Perry Stand.'
Project Manager
Goldie&Associates, Inc.
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Uwe the owners and/or permitee for Royal Oaks, Inc. CZ
P CP14411
Wasterwater Treatment Plant located in Springdale Country Club 200 Golfwatch Rd.,
Canton,NC 28716
Permit No. NC0040355 do X do not authorize Goldie &Associates, Inc.,to
sign our completed monthly monitoring report prior to which they will submit to the
proper regulatory agency.
( (
Date 'Authorized Signatir-e•
it)tdo,
Witness V
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210 W North Second Street • Seneca,'South Carolina 29678 • Phone [phone] • FAX[phone]