WQ0034715_Signature Authority_20221201

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.
Signature Authority Designation
Water Irrigation System
Wake
As an appropriate signing official for h 'e GJv I ®e�e 5 (city/town or
business name) as designated by 15A NCAC 2T .0106, 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 Tyne
or Permit
Number
Sv c r;n 4-Gr+tic�wL
'� �, �a rr-
1f1! Oo 30 7 ).s
If you have any questions, please contact me at the following:
Permittee/Applicant name (please print): 364%
Title: _4� v 0 pis" +#rs 4`t r-'Oi.
Complete mailing address: —70 0 "! A L &v L/L),
City: d`Iw �Pz^`!7
C State:
JAL Zip:
2�t �i �4
Telephone number: ( 6)15 )
Facsimile number: (
)
Email: 1� 0 ee-1,;�,%.4- )-z g. --azm
inc e ly, e
si ature