WQ0036766_More Information Received_20231009

Initial Review
Reviewer
nathaniel.thorn burg
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
Permit Number (IR) * W00036766
Applicant/Permittee Old North State Water Company, Inc.
Email Notifications
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer

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* Chip White
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*
1-336-549-8990
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-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://edoes.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:* Wastewater Irrigation High -Rate Infiltration
Other Wastewater Reclaimed Water
Closed -Loop Recycle Residuals
Single -Family Residence Wastewater Other
Irrigation
Permit Number:* WQ0036766
Has Current Existing permit number
Applicant/Permittee Address* 3212 6th Avenue South, Birmingham, AL 35222
Facility Name* Cedar Point WWTP
Please provide comments/notes on your current submittal below.
Additional Information Request #1
ORC Designation form
Certificate of Public Convenience and Necessity
Attention:
Leah Parente
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.)
Cedar Point Docs.pdf 1.82MB
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 10/9/2023

WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORK! (WPCSOCC)
NCAC 15A 8G .0201
Press TAB to enter information
Permittee Owner/Officer Name: John McDonald
Mailing Address: PO Box 10127 Phone: [phone]
City: zip: 35202
Birmingham state: AL __
_._.
Email Address: [e-mail]
Signature:
Facility Name: Cedar Point WWTP
County: Carteret County
Date:
Permit # WQ0036766
YOU MUST SUBMIT A SEPARATE FORM FOR EACH TYPE AND CLASSIFICATION OF SYSTEM:
FacilityType:
-
Facility Grade. illl
OPERATOR IN RESPONSIBLE CHARGE IORCI
Print Full Name: Stanley Earl Buck, III
Certificate Type: VI1W [Q Certificate Grade: III
Email Address: [e-mail] _
Signature:
Work Phone: [phone]
Certificate ##: 993396
_ -- Effective Date: �� � � Z
"f certify that 1 agree to my designation as the operator in Responsible Charge for the facility noted. 1 understand and will abide by the
rules and regulations pertaining to the responsibilities of the OR£ as set forth in 15A NC4C 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System operators Certification Commission."
— - BACKUP ORC.
Print Full Name: John Michael Blind Jr.
Work Phone:[phone]
Certificate Type: IN1111 Certificate Grade: II
Ej Certificate #i:1013703
Email Address: [e-mail]
Signature:__-"--
t, (' _
Effective Date:
"certify that i agree to Pny designation as a Back-up operator in Responsible
Chorge
the rules and regulations pertaining to the responsibilities
for the facility noted. i understand and will abide by
of the ORC as set forth
Disciplinary Actions by the Water Pollution Control System operators Certification
in 18A NCAC 08G .0204 and failing to do so can result in
Commission."
Mail, fax or email WPCSOCC, 1618 Mail Service Center, Fax: [phone] Email::.rr
ORIGINALto: Raleigh, NC 27699-1618
;vcriP_� c
Mail or Fax Asheville Fayetteville
a COPY to: 2090 US Hw 70
Mooresville Raleigh
Swannanoa, NC 28778 Fayetteville, NC 28301-5043
Suite610 E. Center Ave., 301 3800 Barrett Dr.
Mooresville, NC 28115
Fax:[phone] Fax.[phone]
Phone:[phone]
Raleigh, NC 27609
Fax:[phone] Fax.[phone]
Phone:[phone]
Phone:[phone] Phone:[phone]
Washington Wilmington
Winston-Salem
943 Washington Sq. Mail 1.27 Cardinal Dr.
45 W. Hanes Mall Rd.
Washington, NC 27889 Wilmington, NC 28405-2845
Winston-Salem, NC 27105
Fax:[phone] Fax:[phone]
Fax.[phone]
Phone:[phone] Phone:[phone]S
Phone.[phone]
Revised 412016

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIX A
DOCKET NO. W-1300, SUB 5
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
OLD NORTH STATE WATER COMPANY. LLC
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide sewer utility service
in
CEDAR POINT DEVELOPMENT
Carteret County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the 18t" day of December , 2014.
NORTH CAROLINA UTILITIES COMMISSION
46L l .'( ou v\*
Gail L. Mount, Chief Clerk