WQ0012690_NDARR_20200513

State of North Carolina
Department of Environmental Quality
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
NON-DISCHARGE APPLICATION REVIEW REQUEST FORM

FORM: WQROSNDARR 09-15 Page 1 of 1
May 12, 2020
To: ARO-WQROS: Landon Davidson
From: Poonam Giri, Water Quality Permitting Section - Non-Discharge Branch
Permit Number: WQ0012690 Permit Type: Wastewater Irrigation
Applicant: North Carolina Department of Natural and Cultural Resources Project Type: Renewal
Owner Type: State Owner in BIMS? Yes
Facility Name: Mount Mitchell State Park WWTF Facility in BIMS? Yes
Signature Authority: Kevin Bischof Title: Superintendent
Address: 2388 NC 128, Burnsville, NC 28714 County: Yancey
Fee Category: Non-Discharge Minor Fee Amount: $0 - Renewal
Comments/Other Information: [e-mail]
Attached, you will find all information submitted in support of the above-referenced application for your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
Return this form completed. Return a completed staff report.
Attach an Attachment B for Certification. Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and
return it to the appropriate Central Office Water Quality Permitting Section contact person listed above.
RO-WQROS Reviewer: ___________________________________________ Date: _____________________
5/13/2020