NCG110167_Tracking Slip_20251215

Central Files: APS _ SWP
12/15/2025
Permit Number NCG110167 Permit Tracking Slip
Program Category Status Project Type
NPDES SW Active New Project
Permit Type Version Permit Classification
Municipal WWTP> 1 MGD, Stormwater Discharge, COC 1.00 COC
Primary Reviewer Permit Contact Affiliation
brittany.carson
Coastal SWRuIe
Permitted Flow
Facility
Facility Name Major/Minor Region
Liquid Environmental Solutions Minor Winston-Salem
Location Address County
750 Palmer Ln Forsyth
Facility Contact Affiliation
Winston Salem NC 27107 Louis Humphrey
Plant Supervisor
750 Palmer Ln
Owner Winston Salem NC 27107
Owner Name Owner Type
Liquid Environmental Solutions Non-Government
Owner Affiliation
Tom Hillstrom
7651 Esters Blvd
Dates/Events Irving TX 75063
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/15/2025 10/21/2025 12/15/2025 12/15/2025 2/28/2029
Regulated Activities Requested /Received Events
Wastewater collection RO staff report received
RO staff report requested 10/23/25
Outfall 001
Waterbody Name Streamindex Number Current Class Subbasin
Salem Creek(Middle Fork Muddy Creek) 12-94-12-(4) C 03-07-04