HomeMy WebLinkAboutNC0000353_Signature Authority_20171004Date: /D Pf / Zo / %
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Author!
Facility Name: J he �5 ? I.,r
NPDES Permit Number: N I c 10 1 a I o I D 131$131
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 (f applicable)
Name:
h if Al 6—
Title: Title:
Mailing Address:
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Physical Address:
(:f different)
%q % 6 L-TrrP,+ SS •P.
�o�1, 2S1 77 7
Email Address:
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Office Phone:
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Mobile Phone:
Y29- c.W7-/9-37
If you have any questions regarding this letter, please feel free to contact me at either the phone
number or email address below.
is Signature
Official's Name type or pnnt
Mailing Address'
Email dress
'76C,- z 16
Office Phone
Title
cz� 0,1
Mobile Phone
cc 4 ✓t /lam Regional Office, Water Quality Permitting Section
(Enter region name)