WQ0001284_Signature Authority_20230531

Division of Water Resources
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
DATE 5-414OZ-3"
Subject: Signature Authority Designation
To Whom It May Concern:
As an appropriate signing official for QAYl (city/town/
county or business name) as designated by 15A NCAC 2T .0106, I hereby elegate 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
G
Lk)Q000iz9Li
If you have any questions, please contact me at the following:
Permittee/Applicant name (please print): 1�t / t for
Title:
Complete mailing address:
City: "i j2Z4 State: {u, Zip: R Wlw i J
Telephone number: (02s,2I�fY1o' /�mn?n JrQlclrri 61
) S��-O�lu Email: 4401_� (� 911-�e4`
Sincerely,
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