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101 <br /> C :11Vall the.^project involve a;land a llcation s. stem.for:#reat, ,`ent of WMA!tewater? <br /> ■ ❑ Yes No- If yes, describe <br /> ■ Has an application for a non-discharge permit been sub itted to the NC <br /> Department of Environmental .fiagement or Orange C unty Department of <br /> Environmental Health? ❑ Yes No <br /> p. Is a septic tapir system prgposeci vvl��ch has.a designapc ty.of more than_ <br /> I <br /> 3,000 gallons er <br /> ❑ Yes No- If yes, describe # <br /> Does the:activity Involve audge' isposal? <br /> - l <br /> . . d ❑ Yes No I <br /> ■ If yes, where is the source of the sludge? ## <br /> f <br /> i <br /> ■ Describe where and how the sludge Is being disposed <br /> } <br /> Has a NPDE3 permit from the NC Division of Environme .tal Quality been issued? <br /> ❑ Yes ❑ No <br /> t <br /> i <br /> ■ Estimated number of employees: x 25 gallons per i Jay(gpd) _ p gpd. <br /> ■ Estimated water use for climate control = /00 gpd <br /> ■ Process Water — lid r 1 ?,I Cep-J?L9 <br /> % Consumed <br /> % Discharged to septic system• i <br /> Discharged to surface (including storm +ers) -Describe: <br /> • Evaporated <br /> % Reclaimed/reused <br /> % Other <br /> I <br /> = 100% <br /> ■ Water used for cooling, heating, etc., In association with reduction or manufacturing j <br /> % Reused /�'���IC.� <br /> % Consumed <br /> _% Discharged - Describe: <br /> = 100% <br /> gpd Total Water Usage <br /> ■ Describe source of water: iS ,; �'r✓ Q <br /> � GL - <br /> Page 4ofS <br /> i <br />