WQ0004972_Signature Authority_20240520

DocuSign Envelope ID: 16BB81BA-3125-4B78-9B5C-E63AB24F19E5
March 21, 2022
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To Whom It May Concern:
Subject: Permit No. WQ0004972
Signature Authority Designation
Forest Lakes Preserve ELS
Wastewater Irrigation System
Davie County
As an appropriate signing official for _Forest Lakes Preserve ELS as 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
Field Director,
Pace Analytical
Services
Baron Neal
McDuffie
WQ0004972
If you have any questions, please contact me at the following:
Permittee/Applicant name (please print): George Gudgeon
Title: Sr Vice President
Complete mailing address: 2 N. Riverside Plaza Suite 800
City: Chicago State: IL Zip: 60606-2682
Telephone number: Q 2 A 279-1880 Email: George gudgeonkequi , lifes , le.com
Sincerely DocuSigned by:
3/21/2022 1 2:20 PM CDT
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