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Home My WebLink AboutNCG550037_Permit (Issuance)_20170908 (2) ROY COOPER „Y MICHAEL S. REGAN S. JAY ZIMMERMAN ecirn Water Resources ENVIRONMENTAL OUALUTY - September 8, 2017 Stacey T. Susca 803 Doc Nichols Rd Durham, NC 27703 Subject: General Permit NCG550000 Certificate of Coverage NCG550037 803 Doc Nichols Rd Durham County Dear Permittee: The Division received your request to transfer ownership of the subject Certificate of Coverage (CoC). The Division does not object to your request, and hereby issues you NCG550037. This CoC is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007 [or a$subsequently amended]. If any parts, measurement frequencies or sampling requirements contained in this General Permit are unacceptable to you,you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made,the certificate of coverage shall be final and binding. Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the certificate of coverage. Contact the Raleigh Regional Office prior to any sale or transfer of the permitted facility. Regional Office staff will assist you in documenting the transfer of this CoC. This permit does not affect the legal requirements to obtain any other State, Federal, or Local governmental permit that may be required. If you have any questions concerning the requirements of the General Permit,please contact Charles Weaver of the NPDES staff[919 807-6391 or charles.weaver@ncdenr.gov]. S' erely, /{.� LIf ' • for S_Jay Zimmerman,P.G. Director, Division of Water Resources cc: Raleigh Regional Office NPI�DES•fiie^� • State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh,NC 27699-1617 919 807 6300 919-807-6389 FAX https://deq.nc.gov/aboubdivisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES GENERAL PERMIT NCG550000 CERTIFICATE OF COVERAGE NCG550037 DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1,other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Stacey T. Susca is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a facility located at 803 Doc Nichols Rd Durham Durham County to receiving waters designated as an unnamed tributary to Lick Creek, a class WS-IV NSW stream in subbasin 03-04-01 of the Neuse River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, and III hereof. This certificate of coverage takes effect September 8, 2017. This Certificate of Coverage shall remain valid for the duration of the General Permit. Signed this day September 8, 2017 c/6- for . ay Zimmerman, P.G. Director, Division of Water Resources By Authority of the Environmental Management Commission 8/7/2017 ss.jpg North Carolina Department Of Environment and Natural Resources Division of Water Resources Pat McCrory John E.Skvarla,Ill Governor WATER QUALITY PERMITTING SECTION Secretary PERMIT NAME/OWNERSHIP CHANGE REQUEST Ilk form i> for ult net shill el/an;tcr ur 11:nne Clt:rn;,'c,oC\I'lfl tt;tstellatel perntik • '1'unIIRcr' tc tCrrncC•.the v•-t-lit:,p.tnut h,l!llei 11p!i: d iel.rel r. ;Ice rolitti'a!n:,.nL: i:'.t Ihr t\+11,1,hip name 1I1.:nuL NPf1CS Permit Nn.(0-u•Hj.'/ ;h ;Amu iS rr,purrt:'(:): 7. C 0 0 ur Certificate of Coverage tJ: N C C 5 5 c cc 3-1 II. Existing Pertnittee Information: � ` J o. Pcrtuit sited to(company name;. �AT11 1 e.t-r1C ti(kpl.,, b. Person legally responsible for permit: � J (t„fri-il-97 Deyb• First MI Last _4 I i-1 C Title �1 lu 1 tsloc c .P �_, ,. • 1 1 Um ct,), nL Permit Holder Mailing Address aS443 �; n hjC . 1-1t✓3 q I q- tb0I_—I DDlo City State Zip lOLrl.i ( Phone Fax c. Facility name: d. Facility's physical address: Address -DVYhG-u4 City State Zip e. Facility contact person: ( ) First / Ml / Last Phone III Applicant Information: a. Request for change is a result of: IR/change in cm nership of the facility U Name change of the facility or owner //Wher pl/c[LSL'exp/om: b. Permit issued to(company name): S'-It-& ,1 i SL_D`:›L�_ c. Person legal!) responsible for permit: S t C L C�� { �uS C(J.-- First ` Ml Last Title T7� > C ��c�-& Q RECE1VED/NCDE�® Permit Holder Mailing Address _ WR . N >J r* am AUG 3 �017 City 1 State Zip F11 CA r 53t - 1Do Water Chef$ Phone E-mail Address 1'errnitfin9 Section Pace 11,12 11 Reva,-d 7.01?11/4 is https://mail.google.comfmail/u/0/#inbox/15daec0537791f96?projector=1 1/1 8/7/2017 ss2.jpg • d. Facility name: C. Facility's physical address: `✓oL (ad Address am a3 City Stale Zip f• Facility contact person: First MI Last Title ( ) Phone E-mail Address 11 Will the permitted facility continue to conduct the same commercial/industrial activities conducted prior to this ownership or name change? • Yes_ ❑ No(please explain) If applicable,the applicant shall submit a major permit modification request to DWR.A major modification shall be defined as one that increases the volume.increases the pollutant load,results in a significant relocation of the discharge point.or results in a change in the characteristics of the waste generated. 1'. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: 1. This completed application,is required for both name change and/or ownership change requests. 2. Legal documentation of the transfer of ownership(such as relevant pages of a contract deed.or a bill of sale)is required for an ownership change request. Articles of incorporation are not sufficient for an ownership change. Applicable refutations:40 CFR 122.41.40 CFR 122.61 and 15A NCAC 021.1 .0114 The certifications below must be completed and signed by both the permit holder prior to the change(Permittee).and the new applicant in the_case of an ownership change request. For a name change request,the signed Applicant's Certification is sufficient. PERMITTEE CERTIFICATION(Permit holder prior to ownership change): 1, .attest that this application for a name/ownership change has been reviewed and is accurate and complete to the be f my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included.this application package will be returned as incomplete. Signature Date APPLICANT CERTIFICATION 1,"AS,attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if41 required parts of this application are not completed and that if all required supporting information is not included,this' plication package will he returned as incomplete. Signatures Date kk*kr***k***************** PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Water Resources Water Quality Permitting Section 1617 Mail Service Center Raltigh.North Carolina 27699-1617 NPI)F.S PERMtfl NAMI?/OWNFRSI IIP('I IAN(il?REQI iF.S I Page'-of 2 Rrri.fed'q!2011 https://mail.google.com/mail/u/0/#inbox/15daec0537791196?projector-1 1/1