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HomeMy WebLinkAboutNC0020842_WPCSOSOCC Operator Designation Form_20210407WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (LhrPCSOCC) NCAC LER BG .0201 Press TAR tc enter irferrr.on'an Psrmi etee0huner/Olfi ter Name: Town of Snow Hi. Ema l Address: Pernittee9g,natu se: manageres cde:iilne.wm Fariity Nine: Snow Hil 1Ar'rhTP WWI TA SEPARATE FDRIVI FOR EACH SYSTEM CLASSIFICATION: WW-II Date: 9/7/Yot Permit If HCO020842 t ° COERMOR INZISP4 si11i i ` .: °, :f Print F ul Name: Drake Want Robart Worts Phone: {252)9N-5213 Ce-tirica'tType: VON a Certficate6rade II LJ Cer#ificsate4: 1DDEIS23 Err ail A dfres s MVO_OrOlganDL5t('lill1CXca:1n .Sbnabura: Effecrei:aDate: OY o7 f / aertijy rot r egree to .rny desip rztias es the Operator r.7 P-ipanrrire Cso.ye for Ehe f =iffy heed 1 usdersmnd oar w,i'J Gibed? by th riqC.i and uy[sGtixrr M the respoymO5Pries aj the aPC as set forth. is 15.4 //CAC 1280 .0204 ordlaf.Y.riff to de s7 cen rexuh 11 0.'scti'l7nrrifitti,r4 by firs L%ttof Pah, e3ysremoaer torsCereft+rrzlon Gar iAlsskvr." MaiiiPtifft Priit Ful.dame: Darya Douglas Hill Via* Mons : (252) 28 B2540 Certifica'eTyrpe: VON Certificate C-arde: Rr Certificate4: 93B.819 Erna tiAchress: Dana.Hill r0l'nawealerserviGeri :.00m S7gtiatxlre �- CIFer3Srve Date: rif-7 :. iretrjythtJowe tarnydesign.9tlanosu6a - pdFtreteireREs rsrsbeeCta-yeftrthefcaty'ro d. uredrsteeridmad wd7obi de6� the rules aregierVorspertnrn.`ryratierea,ay.+sihni the oar asset fort':r`nSSA J4ICACO&S.Cealmemo'fmh'ngtuda.s.,yen permit iri ighttpffrporrA 0,,3 ty the Water Po5`atianCaiJ*vrSys rr.0,Tem1_arsart�,ia6rianCommfsiar.." f:Ial,faxoenlail ORIGIF AL§: VJPCSOC t:, 16i8rd ai' Service Center, Flaleish.. MC 27693-16 1 Mal or Farr CQFYta: AAeviIle 2033 US I -My 70 Swannanoe,- NC 28778 Fax sza-293-7043 Mon 826-2964574 Waahitbtor, 943Wa r'n;rsnSq.10all Washington, NC27689 • S17.3R10. Phone: 252.346d4B1 Fax:in-71 -272.fi FaLretteuirla 225 Green 5 . 5...if:e 714 Fa�elte;�ll a, NC 2630t-SQ43 Fare 920-886fi7D7 Phone: 910430.3360 WYllmlrlglon 1Z7 Cs rd nal Dr. l fiv lItta:4 NC 2043$-2345 Faoc91U-3i 0-1o]S Phone 91C-736-7215 Mooresville 6IL!t. CL i1cr Ave„ 5UIte 3.01 Mea-esx,Pe, (SC 23115 Fax 704-663-648J Phone 7,74S53-1659 YJFist orr5alen SSW -Hanes Mil Rd wir :1-Salerrr,r4C27103 Fat: 33 5-776-9747Phone: 33,5-7T6-9300 Raleial 3330 Barrett Di. Ra1egh, NC 2T6Cr3 Fano 919-5i1LT18 Pnoae: g14-731-4200 Rsrascs 1 ra¢