WQ0002096_More Information Received_20210826

Initial Review
Reviewer Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
r Yes r No
If not an application what is the submittal type?*
Permit Number (IR)*
Applicant/Permittee
Email Notifications
Does this need review by the hydrogeologist?*
Regional Office
CO Reviewer
Admin Reviewer
r Annual Report
r Residual Annual Report
r Additional Information
r Other
WQ0002096
JOR Enterprises, LLC
r Yes r No

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by N B Staff regarding electibnittal, confirmation of receipt, other
.......................................................... electronic surece, aner correspondence.
_ -
Name * Paula G Armstrong
Email Address*
[e-mail]
Phone Number*
2525138591
Project Information
........ ................................................................................................................................................... ......... ............ .... .... ........ ... ... .... .... .... ... ... ... .... .... .... ... .... .... ......... ......
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
c Additional Information
r Other
O Modification - Minor
C Renewal
C GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:*
r Wastewater Irrigation
r High -Rate Infiltration
r Other Wastewater
r Reclaimed Water
r Closed -Loop Recycle
r Residuals
r Single -Family Residence Wastewater
r Other
Irrigation
Permit Number:*
WQ0002096
Fbs Current Existing perm number
Applicant/Permittee Address*
240 So Early Station Road, Ahoskie, NC 27910
Facility Name *
Ahoskie Assisted Living WWTF
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Rc.)
AAL_2021 WW_Permit.Signed.pdf 6.99MB
Upload only 1 RJFdocurrent (less than 250 NB). Miltiple documents rust be combined into one FDFfile unless file is larger than
upload limit.
* V By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Parjla q A1,WS ,1Ag
Submission Date 8/26/2021

21 July 2021