WQ0005173_Signature Authority_20221126

Date /
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Permit No.
Signature Authority Designation
Water irrigation System
Wake
fo Whom It May Concern:
As an appropriate signing official for t,;r k i !k—\\ L b\AiA 45 (city/town or
business name) as designated by 15A NCAr2T .01V6, I 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 Tyoe
or Permit
i Number
—�
v o
If you have any questions, please contact me at k following:
Pennittee/Applicant name (please print): _ /
Title:
Complete mailing address: 3as
City: =� {{ '� state:
'telephone number:
Email: c 1 Corr
Sincerely,
signature
Zip: eA&S7gq `
le number: (