NC0051021_Signatory Authority_20160824

<Date>
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
<Facility Nanie>
NPDES Number NCi9O S (0i=1
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following
individuals for all permit applications, discharge monitoring reports, and other
information relating to the operations at the subject facility as required by all applicable
federal, state, and local environmental agencies specifically with the requirements for
signatory authority as specified in 15A NCAC 2B.0506. .
Name # 1 Name #2 �� ►'
Title Title C?kr
i�
Mailin- Address � 0 Mailing Address Li c
Physical Address (if different) ��' 's �` �JG, -,,,?O iysical Address (if different) �` g ad 9,
Email Address v u r5 C erg • ors Email Address e -n -F C7,�, evn{
Office Phone Office Phone aS S -)-I -'4-6 4�
Mobile Phone � .2 _3
6 Mobile Phone , 7 , 553 , Vic{ $1
If you have any questions regarding this letter, please feel free to contact me at <Plzane
Number>.
Sincerely, 4;V
r
<Facility Of Nazne>
<Facility Officer's Title>
<1Mlailin; Address>
<Enzail Address>
<Offzce Phone>
<Mobile Plzone>
cc: <NCDWR region nanle> Regional Office, Water Quality Permitting Section