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Home My WebLink AboutNC0002305_Signature Authority_20201020 October 8,2020 REc y Wastewater Branch ' Water Quality Permitting Section OCT 2 6 2020 Division of Water Resources 1617 Mail Service Center JVCDE-ci/ i,, OPDFS Raleigh,NC 27699-1617 Subject: Delegation of Signature Authority LEAR CORPORATION WWTP NPDES Permit Number NC0002305 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:• George Yankay Jonathan Welty Title.:: O.R.C. Back Up O.R.C. 1754 Nc Hwy 903 1754 Nc Hwy 903 Mailing Address: Kennansville Nc, 28349 Kennansville Nc, 28349 Physical Address: (.f different) ,Email Address: gyankay@gfd.com jwelty@gfd.com Office Phone: 910 - 296 - 5201 910 - 296 - 5201 Mobile Phone: 910 - 540 - 0684 910 - 934 - 0439 If you have any questions regarding this letter, please feel free to contact me at smolino@lear.com or 910-372-1151. Sincerely, Steve Molino Technical Manager Smolino@Lear.Com 910-372-1151 cc: Select a region Regional Office, Water Quality Permitting Section I). Responsible Official Signature The Responsible Official,as identified in accordance with 40 CFR 122.22,is the appropriate individual with the authority to sign and submit reports for the organization. I, _`" I/ r''7,04..f ilO (printed name),have the authority to enter into this Agreement for 4=,4 Z lc-,,QA-vs4i% (Owner/Organization Name). I request the NCDWR grant me and,if included in Sections C and E of this form,the named Submitter(s), an electronic signature credential to submit and accept documents electronically on behalf of my organization. I acknowledge that I,and the individual(s)named in Sections C and E(if applicable),work at/ffr my organization and have authority to submit and accept electronic documents and act as a signatory for purposes of the NCDWR's electronic document systems. By submitting this application,1, ; � . ?_�f, > (printed name),have read, understand,and accept the terms and conditions of this Electronic Signature Agreement.I certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and all attachments and that,based on my inquiry of those persons immediately responsible for obtaining the information contained in the application,I believe that the information is true,accurate and complete.I am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment_ 6.127 sponsible Official Signature Title Date i`toL, cz, cif 0 372 h/•5"1 Email Address Phone Number *email will be the primary method of contact for the electronic submittal process so it is important to have an accurate email available at all times �d If you are a current eDMR submitter please provide your User Id: `5 44'4- a ` •�c _ �t3a User Id Subscribed and sworn to before me this day of c.J-lJune_ 20 O Eicerv,a : : � Signature ofNotaryit lic N°••TARY p ' W .�' to 9 ~ `Y.�et Fes..' 34 ''7-Rx d ii. tP G4U� �1��,�. • Printed Name of Notary Public A^Csx My Commission Expires: •I1 EIf 301(.9L)old- • (SEAL) NCDWR Electronic Submittal Agreement Version 1 Page 4 E. Submitter Signature The Submitter(electronic signature applicant)is a user other than the Responsible Official who submits this agreement to request to sign reports electronically. The Submitter is given signatory authority by an individual identified as the Responsible Official by the Owner/Organization to sign reports and other information and to accept electronic documents. I, 40•/.i.4A,✓ '`€=L``7 (printed name),am authorized by the Responsible Official name in this document,who does have the authority under the applicable standards,to enter into this agreement for iC i , (�A 247)i (Owner/Organization Name). By submitting this application,I, ) ' 't r''-'uel '''`- 7 (printed name),have read, understand,and accept the terms and conditions of this Electronic Signature Agreement.I certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and all attachments and that,based on my inquiry of those persons immediately responsible for obtaining the information contained in the application,I believe that the information is true,accurate and complete.I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. . i3,/ ru/' (J. . �, (7 -a -07-e) S bmitter Signature Title Date s/`4.ve lly cs,fc/a. C�O:^-/ 9/0 9.3 Ya 3 7 Email Address Phone Number *email will be the primary method of contact for the electronic submittal process so it is important to have an accurate email available at all times If you are a current eDMR submitter please provide your User Id: v j�/e:- r ./J 4'='''' User Id Subscribed and sworn to before me this v = day of� _ , 20 ock./. , . Eb. -$ , " `�e�°�� : Signature of Notary Publ � _ t _ '• NOTARY _... , ...-.., PUS= E-IGV)CL-- \-2-)V)Z1JVCI .ti Printed Name of Notary Public �7///i CO!i0 ,N`-` �,.` My Commission Expires: VII a-) ao, (SEAL) NCDWR Electronic Submittal Agreement Version 1 Page 5 N.C. Department of Environmental Quality Division of Water Resources Electronic Signature Agreement Federal regulations require that electronic documents must have valid electronic signatures if Title 40 of the Code of Federal Regulations requires handwritten signatures on the paper documents they replace. Valid electronic signature refers to an electronic signature on an electronic document that has been created with an electronic signature credential. This Electronic Signature Agreement,when finalized and approved,will allow the individuals with electronic signature credentials to sign electronically a variety of required permit documents in lieu of the submittal of signed paper copies. The submittal of Electronic Discharge Monitoring Reports(eDMR) will be available once your electronic signature credentials are in place. Some agreements for document submittals or acceptance, as noted in the Agreement Conditions(Section B.),are not currently available electronically but are included here to have the agreements in place and to avoid the need to complete future submittal of agreement forms when these systems are initiated. A. Owner/Organization Information Owner/OrgamzationAame:;i• , Lear Corporation - Steve Molino asxtdentified'Ein`accordancewithr40'CFR 122.22) 1754 NC Hwy 903 Kenansville North Carolina/28349 1'loue`sNuinwlier r,=„h`,s :. "Y:`" ( 910 )372-1151 EvmailAddress" "kti.'" .> ; X `u ;, smolino@lear.com ma l.will-•be=they m ethod of contact for,{the:electro nic �p` aiy,m '<submi'ttal proce'ss'so it is'important to'have,an accurate.email ::availableat a1lairiie'sv, B. Agreement Conditions To receive and accept the required electronic signature credential, consisting of a user name and password, issued by the North Carolina Division of Water Resources(NCDWR) in order to sign electronic documents submitted to NCDWR's Electronic Document Systems and to receive electronic documents from NCDWR's systems; The Responsible Official and Submitter(if applicable)named in this form do herby: 1. Understand that this Electronic Signature Agreement requires me to submit electronic documents to NCDWR's approved eDMR system under the authorized program in lieu of paper submissions. 2. Understand that this Electronic Signature Agreement requires me to accept electronic transmissions, in lieu of paper transmissions of all permits,permit modifications,authorizations to construct,and any other correspondence related to reviewing and processing permits from NCDWR. This authorization will not become effective until NCDWR establishes a system for processing electronic documents;I am notified in writing from NCDWR that use of the electronic systems has officially been initiated; and North Carolina rules and statutes are changed to allow the implementation of electronic submittal and acceptance of documents. NCDWR Electronic Submittal Agreement Version 1 Page 1 E. Submitter Signature The Submitter(electronic signature applicant)is a user other than the Responsible Official who submits this agreement to request to sign reports electronically. The Submitter is given signatory authority by an individual identified as the Responsible Official by the Owner/Organization to sign reports and other information and to acceptep electronic documents. I, (6�/ e, .` z...1, S�./ (printed name), am authorized by the Responsible Official name in this/document,who dies have the authority under the applicable standards,to enter into this agreement for Leer Cp�dr,-¢ic., (Owner/Organization Name). By submitting this application,I, t eeo/f� .e_ ,^A (printed name),have read, understand, and accept the terms and conditions of this Electronic Signature Agreement. I certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and all attachments and that,based on my inquiry of those persons immediately responsible for obtaining the information contained in the application, I believe that the information is true,accurate and complete. I am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment. �� -22,� Gt/s .n-ki r ,i;,,.I.410s�r e)g %a/43Az. Submitt • i Title ate Q� ��a.�► c Go,� (7i v) z9G-S"z o i E iail Addt ss Phone Number *email will be the primary method of contact for the electronic submittal process so it is important to have an accurate email available at all times If you are a current eDMR submitter please provide your User Id: User Id Subscribed and sworn to before me this 1,3 day of ne----() ,1" , 20 901) . - 1 f. n II) 4 J (lf,. arJJ__Q____ Signatu°e of Notary Public G V Y 1. -A-<,L( M . ( UcIC. Printed Name of Notary Public My Commission Expires:-AUO1,134- 6 CS. 90 a) 3 E qI KRYSTAL M. GOUDE Notary Public, North Caroline Lenoir County I My,Commission Expires August 05,2023 4 • NCDWR Electronic Submittal Agreement Version 1 Page 5