WQ0002005_Signature Authority_20220517

DATE
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To Whom It May Concern:
Subject: Permit No. WQ00###44
Signature Authority Designation
FACILITY
PERMIT TYPE System
COUNTY County
As an appropriate signing official for _4vu3.e a 1 �ct-e corel (city/town or
business name) as designated by 1 SA NCAC 2T .Q 106,1 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
Person
Currently in
Position
Permit Type
or Permit
Number
r
if you have any questions, please contact me at the following:
Perm ittee/ Applicant name (please print): p XV T
Title:
Complet�mailingaddress: 3333 Sou+tk�
City: I M0S-e 1-a '\ L( state:
Telephone number: (C�Lo) .! Sf7 !Y [
signature
Facsimile number: (