WQ0020680_NDARR_20220207

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
February 2, 2022
To: ARO-WQROS: Landon Davidson / Daniel Boss
From: Chloe Lloyd , Water Quality Permitting Section - Non-Discharge Branch
Permit Number: WQ0020680 Permit Type: Closed-Loop Recycle
Applicant: Gilkey Lumber Company, Inc. Project Type: Renewal
Owner Type: Organization Owner in BIMS? Yes
Facility Name: Gilkey Lumber - Rutherfordton CLRS Facility in BIMS? Yes
Signature Authority: Timothy M. Parton Title: President
Address: 2250 US 221 N, Rutherfordton, NC 28139 County: Rutherford
Fee Category: Closed-Loop Recycle 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: 9485DD72-CB58-40B8-974B-7152C4D0545B
2/7/2022