wq0010198_ORC designation_20190722

Town Of Wxffaamton
Wastewater Treatment Plant
P.O. Box 506
CJS 13 & 1.7 Bypaw, 1801 Willow Drive
Wilizamston, NC 27892
Tel. [phone] Fax [phone]
ORC Cell # 252-661-0770
ORC: e-mail enerccd towofwilliamstOn.cotn
7/18/19
To: WPCSOCC
Raleigh., N.C.
Here is the most current ORC and Backup ORC i.nfomiation for the Town of
Will.iamston's Land Application Program,
If you have questions or concerns please feel free to contact me.
Sincerely,
/-�- Z"<&�
Hilary E. Reed

WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (WPCSOCC)
NCAC 15A 8G.0201
Press TAR to enter information
Perrnittee Owner/officer Naive: Town of Williamson ! John O'Denlet, Town Administator
Email Address: jodaniel0townofwilliamston.corn
Permittee Signature:a/
U1 Date. 7�i�
Facility Name: Town of Willialrnston WWTP
Permit # W00010198
SUBMIT A SEPARATE FORM FOR EACH CLASSIFICATION OF SYSTEM: Facility Type; LA
Facility Grade. Select
ORC - 0KRATOR IN ReSPONSIBLE CHARGE
Print Full Name; Hilary Eugene Reed Work Phone, 252-792-4744
Certificate* Type. LA Certificate Grade: Select Certificate #: 991851
Email Address: ganQMed@townOfwilliaM$ton.COM
Signature: +� -`0, Effective date; `-7/ i
certify that i agree to my designation as the Operator in Responsible Charge for the fadlity noted. i understand and will abide by the
rules and regulations pertaining to the msponsibilltles of the ORC as set forth In 25A NCAC 08 .0204 and failing to do sa can resulr in
DistiplinaryActions by the Water poilution ControlSystem Operators Certlficatibn Commission."
BACKUP ORC
Print Full Name. Kerry Lynn Spivey Work Phone: [phone]
Certificate Type: LA
Email Address: kel
certificate Grade: Select
Certificate #: 13268
Signature: Effe-ave date:
"l certify that lrte o ion o Back-up dperotor in Responsible Charge for the fertility rioted, i understand and will abide by
the rules and regulation perraining to the responsibllitles of the ORC as set forth in ISA NC4C O8G ,0204 and failing to do so cart result in
OisciplinaryActions by this Writer f6 luti0n CcAtrolSystem operators Certification Commission."
Mail, fax or email WPCSOCC,1618 Mail Service Center, Raleigh, NC 27699-1618
ORIGINAL to, Email.,certadmin@ncdenr,gov fax: [phone]
Mail ❑r Fax n COPYto- Alshowile Fayetteville
2090 U5 Hwy 70 225 Green 5t_, Suite 7.14
Swannanaa, NC 28778 Fayetteville, NC 28301-5043
Fax; 828-299-7043 Fax: [phone]
Phone: [phone] Phone:[phone]
Washington
543 Washington Sq. Mall
Washington, NC 27889
Vax; 252-946-9215
Phone: [phone]
Wilmington
127 Cardinal Dr.
Wilmington, NC 28405-2845
Fax: [phone]
Phone: [phone]
Mooresville
610 F. Center Ave., Suite 341
Mooresville, NC 28115
Fax: [phone]
Phone: [phone]
Winston-Salem
45 W. Hanes Mill Rd.
Winston-5alarry, NC 27205
Fane: 336-776-9797 Phone:
336-776-9800
Raleigh
3800 Barrett 0r.
Raleigh, NC 27609
Fax: [phone]
Phone. [phone]
FMviAGd X079