NC0005185_Signatory Authority_20160912

Date: 9— 1 a- a 6 I�
Wastewater Branch PECEfVEDlfqCDEQIDWR
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center SEP 2016
Raleigh, NC 27699-1617 V'Jater auauty
Pernlittiri0 Section
Subject: Delegation of Signature Authority
Facility Name: (�a�
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NPDES Permit Number: N I C16101015-11195 `J
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.
Individual #1
Individual #2 (if applicable)
Name:
"Mailing `Address:.
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If you have any questions regarding this letter, please feel free to contact me at either the phone
number or email address below.
Sincerely,
Authorized Signing O
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;ed Signing
Address
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Email Address `.i U '
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Office Phone
cc:
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Mobile Phone
Regional Office, Water Quality Permitting Section