WQ0012709_Signature Authority_20220919

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. WQOOA####
Signature Authority Designation
FACILITY
PERMIT TYPE System
COUNTY County,
As an appropriate signing official for __SJERPE'44 5 G' (IL (cityi'totitivz or
business game) as designated by 15ANCAC 2T .0106, T hereby dclegatc 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:
Person
Permit Tyme or
Position
Cnrrently in
Position
Permit Number
itve #� Swtk+seNWQ
na1 Z-7
, N 1 1
Iwo 00 l z'? o
If you have any questions. please contact me at the following:
Perm ittec /kpplicant name (please print): ,Ri � leorr,k�tr S a ��
Titic: _Pr e5 IaCvk
Complete mailing address: -%S"D 114.14
City: state: N. C. Zip: Zy q Z 5
Telephone number: ZS,73 Facsimile number:( 1e) ) 295 5C4_7
Signature