WQ0029475_ORC Designation Form_20241106 (3)

Water Pollutkon Control System OPERATOR 1N RESPONSIBLE CHARGE (ORC) Designation Forni
NCAC 15A SG 0201
TAB to Mivigat& i ornj
Fac6tyName. STERLING FARMS PLANT WWTF
Fzic0i'y type/CfassAfp�Bv,_:r, WWF, Facility Grade: 11
Permute eOwner/officerNaMe7 AQUA NC
E msj� A.ddf ess J AM � NG U AQLJ AAME Ri CA, CGIM
Permit t WQ00294 75
W SUBMIT, -<EPARATE FORM Ton eAcif CLA551FICATDN
ORC
1-ult Name
David K,3,q.-
wof k Phow:
Ema-,[ Address:
dka nel,Paqu -aa [rL-rjca..CQ11j
Certificate Type:
ww Certificate Grade: tl wCe,,Ifficate
0-
Signature,
EffeLzive Date: L)
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Sri �wnr >q 15A 5,�:ACCWa
Backup ORC
PUlk Name-,
'on Fox
Work Phonm-.,
C ertif icat E Type:
�-ert6cate G�ade:
certificate 012799
signatwe:
Efiective Date 62. Z-
0.7c�,a I _A N�:Ar, 116 DUpi �!O- �0 i1ir, gr�� if
1, as r"p,zany —I r,.-I "g C, 1�-e
Backup ORC
Full %lame:
Raymond Braxioll,
I'Vark
Phone:
Certificate Type:
Ww Certificate wade: IV
Certificate #
Effective Efate:
-1,6 Olt r-, 1;,W
Nr,o 11C c 0.
ra,', ."i"T e
EM@R this cow- to,
AND
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list. NC 2L41)�, 4P,4,; 'AK
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