NCG550060_Other Agency Documents_20160907

PAT MCCRORY
Governor
•
DONALD R.VAN DER VAART
Secretary
Water Resources S.JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
September 7,2016
Jason Jurkowich
130 Roswell Dr
Kernersville,NC 27284
Subject: Wastewater Disposal at
130 Roswell Dr,Kernersville,NC 27284
Certificate of Coverage(CoC)NCG550060
Forsyth County
Dear Mr.Jurkowich:
County tax records list Jason Jurkowich as the current owner of the subject property.We are contacting you to
determine the status of a wastewater disposal system on your property that was covered by General Permit
NCG550000 [the General Permit for single family residence domestic wastewater].An audit for expired unresolved
files noted that the Certificate of Coverage(CoC)for your property's wastewater disposal system expired on
7/31/2012 and has overdue annual fees.The last CoC was issued to Jason Jurkowich on 3/1/2011.The Division needs
information from you to renew coverage under NCG550000.Please respond by October 21,2016 with one the
following:
> If your property still has a wastewater system like the ones described in the enclosed Technical Bulletin,you
must renew the subject CoC.Please complete the enclosed form and submit it to Charles Weaver at the
address on the form.In addition, a$300 in overdue annual fees is required to renew and maintain this permit.
Please send payment for the enclosed invoice(s):
2015PR007927,2011PR007253,2012PR008252,2013PR007104,2014PR007331.
(Payment instructions are provided on the invoice.)
> If you are not sure what type of system your property has,contact George Smith in the NC DEQ Winston-
Salem Regional Office at 336-776-9800. This contact[or other staff members] can help you determine if you
should renew your CoC.
> If you know that your property no longer discharges wastewater and the treatment system has been replaced
with a different treatment system or connected to a city sewer,please contact me at the address or phone
number listed below to request rescission of the CoC.
If you have questions concerning this matter,please do not hesitate to contact Meredith Wojcik at 919-807-6479
or [e-mail].
Sincerely,
John E.Hennessy
Division of Water Resources,DEQ
cc: Winston-Salem Regional Office,DWR WQRO
NPDES General Permit Files NOD-2016-RV-0020
Teresa Revis,DWR Budget Office
State of North Carolina I Environmental Quality I Water Resources
1611 Mail service Center I Raleigh,North Carolina 27699-1611
919 707 9000