NC0037311_Delegated Authority_20141024

Creekside Manor of Forsyth, LLC
6206 Reidsville Road ' ' '
Kernersville, North Carolina 27284 `c `' r i•
Phone:[phone] -,_'
Fax: [phone]
April 4,2014
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh,NC 27699-1617 RECEIVED/DENR/DWR
Subject: Delegation of Signature Authority
Creekside Manor WWTP OCT 2 4 1014
NPDES Number NC0037311 Water uuality
Permitting Section
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 Creekside Manor WWTP required by all applicable federal, state, and local
environmental agencies specifically with the requirements for signatory authority as specified in
15A NCAC 2B.0506.
James M. Cheshire
President/CEO
Research& Analytical Laboratories,Inc.
If you have any questions regarding this letter,please feel free to contact James Cheshire at 336-
996-2841.
Sincerely,
4/6144,---1- 04-wwt/A495---
William R. Hammonds
Consultant Management
Allegiance Healthcare Investors LLC
cc: Winston-Salem Regional Office, Water Quality Permitting Section