WQ0021934_Signature Authority_20230314

DATE
Division of Water Resources
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Signature Authority Designation
To Whom It May Concern:
As an appropriate signing official for r ,� ✓ /4-,T -2t (city/town/
county 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 Type
or Permit
Number
0-
If you have any questions please contact me ^J *he following:
Pei mittee/Applicant_name (please print):
Title: qft_�keN-
Complete mailing address:
City: C' %Z State: c'� Zip:
Telephone number: (° `i) ,? ,/ �6 6)LF Email: s s i
Sincerely,
n
signature