WQ0017641_Application_19991109

11/09/1999 11:00 919-715-6048
DWQ NON DISCHARGE BR
PAGE 01/01
PROCEDURE 4 REQUEST FORM
ct p
DATE:
TO FROM: Paul Rawls
Fayetteville Regional Office, Water Quality Section
TO FROM: Will Wilson
Ton -Discharge Permitting Unit
State Engineering Review Group
[phone] x375
fax [phone]
Application Number: 6L 601 > 9'4I County: oo r e-
Applicant: 73w­ E `^e
Project Name: Comes (v r%
Receiving Facility: 1-4co^e Coy, i ,� vim, �.'�res Permit #:
Flow Volume: _17, ZSsO GPD Flow Type: .y�Dom.
Engineer: CJ­ o, Ie s )i e,Ls e
Approval: Denial:
Comments:
Regional
Application Number: County:
Applicant:
Project Name:
Com. Ind.
Receiving Facility: Permit #:
Flow Volume: GPD Flow Type: Dom. Com. Jmd.
Engineer:
Approval: Denial:
Comments:
Regional Signature:
10
Nov 0 9 19"
FAYEVEVILLE
REG. OFFICE