WQ0031725_NDARR_20210226

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

February 25, 2021
To: ARO-WQROS: Landon Davidson / Daniel Boss
From: Poorva Mokashi, Water Quality Permitting Section - Non-Discharge Branch
Permit Number: WQ0031725 Permit Type: Land Application of Residual Solids (503)
Applicant: Baxter Healthcare Corporation Project Type: Renewal
Owner Type: Organization Owner in BIMS? Yes
Facility Name: Baxter Healthcare Corporation RLAP Facility in BIMS? Yes
Signature Authority: Scott J. Overbeck Title: Site Director
Address: PO Box 1390, Marion, NC 28752 County: McDowell
Fee Category: Non-Discharge Minor Fee Amount: $0 - Renewal
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: _____________________
FORM: WQROSNDARR 09-15 Page 1 of 1