WQ0001284_Signature Authority_20230613

June 13,2023
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 Town of Conway 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
Town Clerk
Robin Futrell
WQ0001284
If you have any questions, please contact me at the following:
Permittee/Applicant name (please print): —Te fi�e I
Title:
0 e_C
Complete mailing address: P O Box 365
City: Conway State: NC Zip: 27820
Telephone number: (252 ) 5850488 Email: [e-mail]
Sincerely,
s' ature