WQ0000798_More Information Received_20220114

Non -Discharge Branch Upload/Submittal Form
NORTH CAROLINA
Envlronment&Qu,1ty
Version 2 - Revised June 23, 2020
Initial Review
Reviewer
Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.) *
Yes 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
Annual Report
Residual Annual Report
Additional Information
Other
WQ0000798
Brunswick County
Yes No

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*
Carter Hubard
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
Phone Number*
9104421850
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.deg.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type: *
Permit Number: *
Applicant/Permittee Address*
Facility Name*
Wastewater Irrigation
Other Wastewater
Closed -Loop Recycle
Single -Family Residence Wastewater
Irrigation
WQ0000798
Has Current Existing permit number
High -Rate Infiltration
Reclaimed Water
Residuals
Other
250 Grey Water Road NE, PO Box 249, Supply, North Carolina
Shallotte WWTF
Please provide comments/notes on your current submittal below.
Structural sheet S3
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 Plans, Specifications, Calculations, Etc.)
2022-01-10 Southport WWTP - S3.pdf 435.62KB
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
Submission Date 1/14/2022

ar DICKSON
community infrastructure consultants
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1213 W. MOREHEAD ST., SUITE 300
CHARLOTTE, NC 28208
(t) 704-334-5348
(f) 704-334-0078
WWW.WKDICKSON.COM
NC LICENSE NO.F-0374
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PROFESSIONAL SEAL
REVISION RECORD
DESCRIPTION
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CITY OF SOUTHPORT - BRUNSWICK COUNTY WWTF
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DRAWING TITLE:
HEADWORKS SECTIONS
PROJ. MGR.:
MG
DESIGN BY:
VW
DRAWN BY:
DB
PROJ. DATE:
DEC 2021
DRAWING NUMBER:
S3
WKD PROJ. NO.:
20170253.00. W L