WQ0002379_NDRRF_20210702

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

FORM: WQROSNDPRR 08-17 Page 1 of 1
June 8, 2021
To: ARO-WQROS: Landon Davidson / Daniel Boss
From: Nathaniel D. Thornburg, Water Quality Permitting Section - Non-Discharge Branch
Permit Number: WQ0002379 Permit Type: Land Application of Residual Solids (503)
Permittee: Cliffside Sanitary District Date Rescission Requested: June 8, 2021
Facility Name: Cliffside Sanitary District RLAP Date of Last Inspection: May 7, 2019
Comments: See attached rescission request.
Please complete this form and return to the Central Office within 30 days of receipt.
Site visit performed. Permit rescission approved. Permit rescission denied.
Comments:
WQROS Reviewer: ___________________________________________ Date: _____________________
See inspection report from 6/24/2021 for most recent facility information and comments
7/2/2021