WQ0032232_More Information Received_20211202

Non -Discharge Branch Upload/Submittal Form
NORTH CAROLINA
En.anmemfal Qualify
Version 2 - Revised June 23, 2020
Initial Review
Reviewer
Saunders, Erickson G
Is this submittal an application? (Excluding additional information.) *
Yes No
If not an application what is the submittal type?*
Annual Report
Residual Annual Report
Additional Information
Other Groundwater levels for monitoring wells
Permit Number (IR) * WQ0032232
Applicant/Permittee Mark Fowler
Email Notifications
.............................................................................
Does this need review by the hydrogeologist? * Yes • No
Regional Office Mooresville
CO Reviewer
Admin Reviewer
[e-mail]

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
Name*
James Sims
Email Address*
[e-mail]
Project Information
Application/Document Type *
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Groundwater levels for monitoring
wells
Phone Number*
7047884164
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
Residual Annual Report
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: *
Permit Number:*
Applicant/Permittee Address*
Wastewater Irrigation
Other Wastewater
Closed -Loop Recycle
Single -Family Residence Wastewater
Irrigation
WQ0032332
Has Current Existing permit number
6400 Breezy Lane. Concord, NC 28025
Facility Name* Rocky River Regional WWTP
High -Rate Infiltration
Reclaimed Water
Residuals
Other
Please provide comments/notes on your current submittal below.
Groundwater levels for monitoring wells on sites 1 and 3 at the RRRWWTP for the month of
November 2021.
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 Fomi, Engineering Plans, Specifications, Calculations, Etc.)
Monitoring Well water levels 11-10-21.pdf 9.32MB
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
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
c � la,lee 2 L7cWWcd

Submission Date 11/15/2021