WQ0000731_NDARR_20210513 (2)

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, 2021
To: ARO-WQROS: Landon Davidson / Daniel Boss
From: Poorva Mokashi, Water Quality Permitting Section - Non-Discharge Branch
Permit Number: WQ0000731 Permit Type: Reclaimed Water
Applicant: Lake Toxaway Co. Project Type: Renewal
Owner Type: Organization Owner in BIMS? Yes
Facility Name: Lake Toxaway Country Club WWTP Facility in BIMS? Yes
Signature Authority: Reginald Heinitsh Title: Chairman of the Board
Address: 100 Waterfall Circle, Lake Toxaway, NC 28747 County: Transylvania
Fee Category: Non-Discharge Major Fee Amount: $0 - Renewal
Comments/Other Information: [e-mail]; [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: _____________________
DocuSign Envelope ID: 9C248DB8-9617-4683-9FF7-C2A827866512
5/13/2021