WQ0014046_Signature Authority_20220315

Town of Stovall
March 15, 2022
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To Whom It May Concern:
P O. &x 100
107Main Street
Stovall, Jlrorth Carolina 27582
[phone]
AX ,1 O- [phone]
Subject: Permit No. W00014046
Signature Authority Designation
FACILITY Town of Stovall
PERMIT TYPE Wastewater
Irrigation System
COUNTY Granville
As an appropriate signing official for Town of Stovall as designated by 15A NCAC 2T .0106, 1 hereby
delegate authority to sign and certify all permit applications, reports or other permit related documents to
the following staff for the following permit types (sewer, spray, land application) and/or permit numbers:
- —
Position
RG---
T Person
Currently in
Position
Permit Tvoe
or Permit
Number
If you have any questions, please contact me at the following: (�
Permittee/ pphcant name (please print):
Title: -- 111_ U _
Complete ailing address:-�•d�ilt�(5_� �d —_ --- — " - — -
City: ��---- -- _ State:---
_ Lip: �s1--..... ..
Telephone number: ( g101 ) ( - i[µ� Facsimile number.
Sincerely,
signature