HomeMy WebLinkAboutNC0071005_Signature Authority_20180221Date: 'A -,I- / — lb
Wastewater Branch
Water Quality Permitting Section RECEIVEDIDENRIDWR
Division of Water Resources FEB 16 2018
1617 Mail Service Center
Raleigh, NC 27699-1617 Water Resources
Permitting Section
Subject: Delegation of Signature Authority
Facility Name:
NPDES Permit Number: N I C 1®101711 1®14151
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 #I
Individual #2 (if applicable)
Name;
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Title:
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Mailing Address;
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Physical Address'
(if different)
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Email Address;
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Office Phone:
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Mobile Phone:
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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,
AuthoriSigning Official's Signature
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Authorized Signing Official's Name (type or print)
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Title
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Mailira_ Address f
Email Address
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Offce Phone Mobile Phone
cc: 4514 e V t t_ c. L- Regional Office, Water Quality Permitting Section
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