WQ0004967_NDARR_20211005

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
October 5, 2021
To: ARO-WQROS: Landon Davidson / Daniel Boss
From: Chloe Lloyd, Water Quality Permitting Section - Non-Discharge Branch
Permit Number: WQ0004967 Permit Type: Wastewater Irrigation
Applicant: AllJuice Realty, LLC Project Type: Renewal
Owner Type: Organization Owner in BIMS? Yes
Facility Name: AllJuice WWTF Facility in BIMS? Yes
Signature Authority: Mark Hoppe Title: Managing Member
Address: 1 Westbrook Corp Ctr #330, Westchester, IL 60154 County: Henderson
Fee Category: Non-Discharge Major 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: _____________________
DocuSign Envelope ID: EE0851B9-8DCF-4FD0-BD05-C393774A92B3
10/5/2021