WQ0012630_2019 Renewal_20190401

Division of Water Resources
To: WiRO-WQROS: Morelia Sanchez -King
State of North Carolina
Department of Environmental Quality
Division of Water. Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
March 5, 2019
From: Ashley Kabat, Water Quality Permitting Section -Non-Discharge Branch
Permit Number: WQ0012630
Applicant: Jeffrey D. and Donna F. Harrell
Owner Type: Individual
Facility Name: J & J Washpit
Signature Authority: Jeffrey D. Harrell
Address: 673 NC 11 S. Magnolia, NC 28453-8805
Fee Category: Non -Discharge Minor
Comments/Other Information:
MAR 07 2.019
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Permit Type: V astewater Irrigation
Project Type: Renewal
Owner in BIMS? Yes
Facility in BIMS? Yes
Title: Owner
County: Duplin
Fee Amount: $0 -Renewal
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:
Z Return this form completed. Z 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: 3 _ ~ Iq
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FORM: WQROSNDARR 09-15 Page 1 of 1