WQ0034102_Signature Authority_20230607

DATE
Division of Dater Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To Whom It May Concern:
Subject: Permit No. WQ004####
Signature Authority Designation
FACILITY
PERMIT TYPE System
COUNTY County
As an appropriate signing official for i oL-.2r-7 d r I -Re o.- j'
(city/town or
business rac�rrre) as designated by l �A NCAC. 2T .0106, 1 herebv dele4�ate authority to sign and certify all
permit applications, reports or other permit related documents to the following staff far the following
permit types (sewer, spray, land application) and/or pen -nit numbers:
Person Permit Type
Position Currently in or Permit
}} Position Number
�' �ctrheti+tS� rtA�0� l�a�er ES I wa Do O 2—
If you have any questions, please contact me at the followingy-
Permittee/Applicant name (please print):
Title: �
Complete mailing address: 1>0 Bovc
City: State:
Telephone number: ( 9(0 ) _Z � -
signature
�r Zip:
Facsimile number: