NCG550062_Permit (Issuance)_20190503

ROY COOPER : i -
Governor ` `
MICHAEL S.REGAN
Secretory { ' vam*
LINDA CULPEPPER NORTH CAROLINA
Director Environmental Quality
May 3, 2019
Mr. Perry Seawright
252 Otter Circle
Fayetteville, GA 30215
Subject: NPDES General Permit NCG550000
Transfer of NCG550062
4488 Hwy 801 North
Davie County
Dear Mr.Seawright:
The Division hereby transmits Certificate of Coverage (CoC) NCG550062,issued under
NPDES General Permit NCG550000. This action is taken to show that you are now the owner of the
subject facility. This CoC is issued pursuant to the requirements of North Carolina General Statute
143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency dated October 15, 2007 (or as subsequently amended).
If any parts,measurement frequencies or sampling requirements contained in the General
Permit are unacceptable to you,you have the right to request an individual NPDES permit upon
written request within thirty(30) days following receipt of this letter. Unless such a request is
made,this transfer of the subject CoC shall be final and binding.
This CoC is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the CoC. This permit does not affect the legal
requirements to obtain other permits which may be required by any other Federal,state,or local
government. If you have any questions concerning this matter,please contact Emily Phillips at
[phone] or via e-mail [[e-mail]].
Sinc r ,
if /e/:(116f -
1 s' inda Culpepper, Director
Division of Water Resources
cc: NPDES Files
D E�.�- North Carolina Department of Environmental Quality I Division of Water Resources
'J/� 512 North Salisbury Street 11617 Mali Service Center I Raleigh,North Carolina 27699-1617
w tc �� /''v 919.707.9000

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
CERTIFICATE OF COVERAGE NCG550062
Under GENERAL PERMIT NCG550000
TO DISCHARGE 100%-DOMESTIC AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
In compliance with the provisions 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,
Perry Seawright
are hereby authorized to operate a wastewater treatment facility with a discharge of<1000 gallons
per day); discharging from
4488 Hwy 801 North
Mocksville
Davie County
to receiving waters designated as an unnamed tributary(UT) to Chinquapin Creek[stream segment
12-102-6] a waterbody currently classified as C waters located within sub-basin
03-07-05 of the Yadkin Pee-Dee River Basin,in accordance with the effluent limitations,monitoring
requirements,and other conditions set forth in Parts I, II,and III of General Permit NCG550000 as
attached.
This certificate of coverage shall become effective May 3, 2019.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 3, 2019.
"CY
/(fiiit- i Vesa(l7
Linda Culpepper,Director
Division of Water Resources
By Authority of the Environmental Management Commission

PAT MCCRORY
r t;arrrnnr
DONALD R. VAN DER VAART
f �a:r,r(uiT
S. Jit IMMERMAN
Ulrn der
Water Resources NR/DW
ENVIRONMENTAL OUALIIr 13
• t
PERMIT NAME/OWNERS`HIP CHANGE FORMS at.r,q$'
1rtnit��9 Section
I. CURRENT PERMIT INFORMATION:
Permit Number: NCOO / / / / or NCG5 S/O /0 /6 /2-
1. Facility Name: `I 9 64‘4 f 5519f /J hiOGks.v.)4C 'v L.
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
c. Other(please explain):
2 New owner's name (name to be put on permit):
FOPgi Setilog( 6.
3. New owner's or signing official's name and title: 4-44c440--'
( er on legally respon ble for permit)
(Title)
4. Mailing address: RSA City: 444 11CC,
State: Zip Code: 3 Cad £ Phone: (1 C(i ) 4 O 9O70
E-mail address: Fr ,,,a41tArall Y 11 e 6.111.4<<-• C O 011
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality 1 Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

NPDES Name&Ownership Change
Page 2 of 2
Applicant's Certification:-
I, PEj ' / I• ci1t')RI 6-1{T , attest that this application for a
name/ownersNi change has been reviewed and is accurate and complete to the best of
P 9 P my
knowledge. I understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application
package will be re d as i c lete.
Signature: Date: Y/f//1
THE COMPLETE LICATION PAC GE, INCLUDING ALL SUPPORTING
INFORMATION MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
•
I A^
Version 7/2016

STATE OF NORTH CAROLINA File No.
18 E 154
In The General Court Of Justice
DAVIE Superior Court Division
COUnty Before the Clerk
IN THE MATTER OF THE ESTATE OF:
Name
BARBARA PARKS SEAWRIGHT LETTERS
ADMINISTRATION
• G.S.28A-6-1;28A-6-3;28A-11-1;36C-2-209
The Court in the exercise of its jurisdiction of the probate of wills and the administration of estates, and upon application of
the fiduciary, has adjudged legally sufficient the qualification of the fiduciary named below and orders that Letters be
issued in the above estate.
The fiduciary is fully authorized by the laws of North Carolina to receive and administer all of the assets belonging to the
estate, and these Letters are issued to attest to that authority and to certify that it is now in full force and effect.
Witness my hand and the Seal of the Superior Court.
Name And Address Of Fiduciary 1 Date Of Qualification
PERRY SEAWRIGHT 05/07/2018
252 OTTER CIRCLE
FAYE 1-I'EVILLE,GA 30215 Clerk Of Superior Court
ELLEN E DRECHSLER
Title Of Fiduciary 1
ADMINISTRATOR EX OFFICIO JUDGE OF PROBATE
Name And Address Of Fiduciary 2 Date Of Issuance _
7—lU
Signature 1-1(
Title Of Fiduciary 2
❑ Depu C C Ki Assistant CSC ❑ Clerk Of Superior Court
SEAL
NOTE: This letter is not valid without the official seal of the Clerk of Superior Court.
AOC-E-403,Rev.7/06
©2006 Administrative Office of the Courts