NCG160239_DOSA Request_20220317

Date: � - 1- -L-j�
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
Facility Name: Southeast Emulsions Inc. - Denton Terminal
NPDES Permit Number: N I C I G 11 16 0 1.2 13 1 91
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:`
Jake Flores
Joe Harve
Title:
Environmental Manager
Terminal Manager
Mailing Address::
248 Plemmons Rd. Duncan, SC 29334
18846 NC-8 Denton, NC 27239
Physical Address:
(fdifferent)
Email Address:
[e-mail]
[e-mail]
Office Phone:
Mobile Phone:.
04 682-5393
[phone]
If you have any questions regarding this letter, please feel free to contact me at either the phone
number or email address below.
Si erely,
J
Authorized Signing Official's Signature
Michael Burdette Assistant Secretary
Authorized Signing Official's Name (type or print) Title
Mailing Address
[e-mail]
Email Address
Office Phone
cc: Winston Salem
(Enter region name)
91z- 2s�G;2-r4
Mobile Phone
Regional Office, Water Quality Permitting Section