NCG030469_DOSA Request_20220613

Date: 2
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 276994617
Subject: Delegation of Signature Authority
Facility Name:`
NPDES Permit Number: N I C I CI 10 131 lI L Iq
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 213,0506.
Individual #1 Individual #2 (if applicable)
If you have any questions regarding this letter, please feel free to contact me at either the phone
number or email address below.
Sincerely,
Authorized Signing;GJfficial"s Signature
Email Address
Office Phone
cc;
Mobile Phone
Regional Office, Water Quality Permitting Section
(Enter �•egion name)