NC0027197_Signature Authority_20201001

NORTH CAROLINShelbyA
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Post Office Box 207.Shelby,NC 28151-0207 t;
October 1, 2020
Wastewater Branch R F 1 E
D
Water Quality Permitting Section OCT 0 i 2020
Division of Water Resources �lCpE /U!�l /h;PDES
1617 Mail Service Center
Raleigh, NC 27699-1617
To Whom It May Concern:
Please find enclosed one (1) Delegation of Signature Authority form for each of the City of
Shelby facilities listed below:
Shelby Water Treatment Plant Permit Number: NC0027197
First Broad Wastewater Treatment Plant Permit Number: NCO24538
If you have any questions, please contact me at [e-mail].
Regards,
David Hux
Director of Water Resources
Enclosures
Certified Mail: 7012 2920 0001 9633 8249
www.cityofshelby.com

Date: October 1, 2020
�-�IVED
Wastewater Branch ! , � �
Water Quality Permitting Section z
Division of Water Resources QC o 2020
1617 Mail Service Center NCDECIDWR/NPDES
Raleigh,NC 27699-1617
Subject: Delegation of Signature Authority
Facility Name: Shelby Water Treatment Plant
NPDES Permit Number: N ICI 0 I 0 12 17 111 91 7
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: David William Hux
Title: Director of Water Resources
Mailing Address: Sh Box N
Shelby, NC
28151-0207
Physical Address: 820 W Grover Street
(if different) Shelby, NC 28150
Email Address: david.hux©cityofshelby.com
Office Phone: [phone]
Mobile Phone: [phone]
If you have any questions regarding this letter,please feel free to contact me at either the phone
number or email address below.
Sincerely
/CZ 74/4/1-
Authond Signing Official's Signature
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Authorized Signing Official's Name(type or print) Title
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Mailing Address
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Email Address
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Office Phone Mobile Phone
cc: Mooresville Regional Office,Water Quality Permitting Section
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