WQ0008489_Signature Authority_20230515

05/15/2023
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 ODV—Lf\A!,�0-� "� A Q (cityftown/
county or business name) as designated by 15A NCA 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
y p
If you have any questions, please contact me at the following:
Permittee/Applicant name (please print): K Y % S c'hoorn
Title:
Complete mailing address: Y_ g
City: � —r State: r\� C_ Zip: a %
Telephone number: (25Q) 5 4 g .- V p U 9_ Email: K 6b1 e-(30 U A o c �f >> ,}a,, r) L
Sincerely,
Signature