NC0020443_Other_20200311

NORTH CAROLINA
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WW ORC Designation Expiration OR Resignation Form
Submit the following information to expire a designated operator or resign your
designation:
Permittee/Owner Name * Town of Columbia
Facility Name(s) * Columbia Wastewater Treatment Plant
Permit Number(s) * NCO020443 NC0007510
Contact Phone Number * 2527967514
Contact Email Address [e-mail]
Operator [11 Full Name *
Certificate # * 27594
Effective Date
Feb
2020
v
Operator [21 Full Name
Tim Farrell Oliver
Tim Farrell Oliver
D
v 129
v

Certificate # 986716
Effective Date Feb 29
Cl
2020
Operator [3] Full Name Tim Farrell Oliver
Certificate # 990475
Effective Date Feb 29
2020 IVIOl
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