WQ0028785_Signature Authority_20220425

04r25r`2022
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To Whom It May Concern:
Subject: Permit No. WQ0028785
Signature Authority Designation
Queens Grant WWTF
High Rate Infiltration System
Pender County
As an appropriate signing official for Queens Grant Recreation Association, Inc. (cityltown or business
name) as designated by 15A NCAC 2T .0106, I hereby delegate authority to sign and certify all pen -nit
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
Person
Currently in
Position
Permit Tyne
or Permit
Number
President
William
Cilento
WQ0028785
If you have any questions, please contact me at the following:
Permittee/Applicant name (please print): William Cilento
Title: President, Queens Grant Recreation Association.Ine
Complete mailing address: 125 Goldwind Court
City: Winston-Salem State: NC Zip: 27106
Telephone number: ( _504_ ) 259-8571 Facsimile number: (� )
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