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EXHIBIT A <br /> WPCSOCC Operator Designation Form(continued) Page 2 <br /> Facility Name: Efland Cheek Collection System Permit M WOS00194 <br /> BACKUP ORC <br /> Print Full Name: Gregory Robert Barts Work Phone:919-563-3401 <br /> Certificate Type: CS Certificate Grade: III Certificate M 995847 <br /> Email Address: gbarts@cityofmebane.com <br /> Signature: Effective Date: <br /> "I certify that I agree tom designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by <br /> the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G.0204 and failing to do so can result in <br /> Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." <br /> BACKUP ORC <br /> Print Full Name: Jeffrey A. Jobe Work Phone:919-563-3401 <br /> Certificate Type: CS Certificate Grade: III Certificate#:1001403 <br /> Email Address: Mobe @cityofinebane.com <br /> Signature: Effective Date: '-{-as- 19.0 1 7 <br /> "I certify that I agree to d iron Back rotor in Responsible Charge for the facility noted. I understand and will abide by <br /> the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC O8G.0204 and failing to do so can result in <br /> Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." <br /> BACKUP ORC <br /> Print Full Name: Work Phone: <br /> Certificate Type: Select Certificate Grade: Select Certificate M <br /> Email Address: <br /> Signature: Effective Date: <br /> "I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by <br /> the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G.0204 and failing to do so can result in <br /> Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." <br /> BACKUP ORC <br /> Print Full Name: Work Phone: <br /> Certificate Type: Select Certificate Grade: Select Certificate M <br /> Email Address: <br /> Signature: Effective Date: <br /> Of certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by <br /> the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 09G.0204 and failing to do so can result in <br /> Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." <br /> Revised 412016 <br />