WQ0043463_Signature Authority_20230627

Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh,, North Carolina 27699-1617
To Whom It May Concern:
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Subject: Permit No.
Signature Authority Designation
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As an appropriate signing official for top"'ivY► � � y ��� ��'�v �" � �` � � � (cit.1
y/town oY
business name) as designated bv 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
If you have any questions,
Permittee/Applicant name
Title:
M �P' vv�"b e,:<00
Complete mailing address:
City:
Person
Currently in
Position
please contact me at the following:
(please print): � • e�ct��' � 5 k3o
Ado* it
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State: th%l C­or
ME&-%q ------- wwwvmw�
Lj"_'c'c�
Permit Type
or Permit
Number
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Telephone number: (�SZ-e� 23t� - �fp 3 Z NEEMOdm Facsiminumber-,:le ( )
Email: OYN v"e'5
Sincerely, ..,�
signature