WQ0029653_Signature Authority_20230112

DATE
Division of Water Resources
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To Whom It May Concern:
Subject: Signature Authority Designation
As an appropriate signing official for � ( e)—t c1" Ir'P` _) 11411 e"L) 2 �. U)-Tf (city/town/
county or business name) as designated by 15A NCAC 2T .0106, 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
Pa `u
If you have any questions, please contact me at the following: / ^ OA11, pA S c �..n am6 � 'r ; p
Permittee/Applicant name (please print): R'(A( CrPur� ` coA- �� P1rC°+ Uy- W(JL) I
Title: &Z"erp (
Complete mailing address: P U 6 d K r U l
City: 1 " ►zFr1 4A State: ip: d`-79 5 r7
Telephone number: �) �O Email: S�/�� OG�o.,o p��¢, C.'O^
Sincerely,
Zignature