WQ0041136_NDARR_20200929

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
September 24, 2020
To: ARO-WQROS: Landon Davidson
From: Vivien Zhong, Water Quality Permitting Section - Non-Discharge Branch
Permit Number: WQ0041136 Permit Type: Reclaimed Water
Applicant: Cervini Farms North Carolina, Inc. Project Type: Minor Modification
Owner Type: Organization Owner in BIMS? Yes
Facility Name: Cervini Farms WWTP Facility in BIMS? Yes
Signature Authority: Chris Cervini Title: President
Address: PO Box 32660, Detroit, MI 48232 County: Henderson
Fee Category: Non-Discharge Minor Fee Amount: $0 - Minor Mod
Comments/Other Information: [e-mail];[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: _____________________ 9/29/2020