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114 <br /> C. Will the project involve a land application system for treatment of wastewater? <br /> ■ ❑ Yes ❑✓ No - If yes, describe <br /> ■ Has an application for a non-discharge permit been submitted to the NC <br /> Department of Environmental Management or Orange County Department of <br /> Environmental Health?❑ Yes ❑ No <br /> D. Is a septic tank system proposed which has a design capacity of more than <br /> 3,000 gallons per day? <br /> ❑ Yes ❑✓ No - If Ves, describe <br /> E. Does the activity involve sludge disposal? ❑ Yes❑✓ No <br /> ■ If yes, where is the source of the sludge? <br /> ■ Describe where and how the sludge is being disposed <br /> ■ Has a NPDES permit from the NC Division of Environmental Quality been issued? <br /> ❑Yes ❑ No <br /> F. Water Usage <br /> ■ Estimated number of employees: N/A x 25 gallons per day (gpd) = gpd <br /> ■ Estimated water use for climate control = gpd <br /> ■ Process Water <br /> % Consumed <br /> % Discharged to septic system <br /> % Discharged to surface (including storm sewers - Describe: <br /> % Evaporated <br /> % Reclaimed/reused <br /> % Other <br /> = 100% <br /> ■ Water used for cooling, heating, etc., in association with production or manufacturing <br /> % Reused <br /> % Consumed <br /> % Discharged - Describe: <br /> = 100% <br /> gpd Total Water Usage <br /> ■ Describe source of water: <br /> Community Well <br /> Page 4 of 5 <br />