WQ0000165_Signature Authority_20230216

DATE
Division of Water Resources
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To whom It May Concern:
.P
Subject; Signature Authority Designation
As an appropriate signing official for ��i r� �� ��� /�� _S �� e 5ca �,;� ��� ci t
county or business name) as designated by 15A NCAC 2T .Q14d i herebydelegate� �Y�own/
certify all permit applications, reports or other permit relayed documents authority''
to sign and
followingerm�� � p�, p �o the foliov��ng staff far the
p hypes (sewer s ra land a plication) and/or permYt number��
If you have any questions,, Please contact me at the following:
Permiktec/Annlicant name (please prim):
Title:
Complete mailing address:
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'�c de.0 s
Telephone number: q
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Sincerely,
signature
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State: A - wo,G. zip: �Y"� S�r2.
Email: