WQ0006406_NDARR_20210809

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
August 9, 2021August 9, 2021
To: ARO-WQROS: Landon Davidson / Daniel Boss
From: Poonam Giri, Water Quality Permitting Section - Non-Discharge Branch
Permit Number: WQ0006406 Permit Type: Closed-Loop Recycle
Applicant: Emerald Village, Inc. Project Type: Renewal
Owner Type: Organization Owner in BIMS? Yes
Facility Name: Emerald Village Gem Mine CLRS Facility in BIMS? Yes
Signature Authority: Alan Schabilion Title: President
Address: PO Box 98, Little Switzerland, NC 28749 County: Mitchell
Fee Category: Closed-Loop Recycle Fee Amount: $0 - Renewal
Comments/Other Information: [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: _____________________
8/9/2021