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Home My WebLink AboutNCG550166_Permit (Issuance)_20161107 PAT MCCRORY Governor f:,a DONALD R. VAN DER VAART Secretan Water Resources S. JAY ZIMMERMAN ENVIRONMENTAL QUALITY Director November 7, 2016 Ms. Kimberly A. Woods 1080 Baker Crossroads Rd Reidsville, NC 27320 Subject: General Permit NCG550000 1080 Baker Crossroads Rd Certificate of Coverage NCG550166 Rockingham County Dear Permittee: The Division has received and approved your request to transfer ownership of the subject Certificate of Coverage (CoC) under General Permit NCG550000. As a result, the Division hereby reissues NCG550166. 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 as subsequently amended]. Please provide a copy of the deed as soon as possible for our records. 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 Winston-Salem 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 Brianna Young of the NPDES staff[919-807-6388 or brianna.young@ncde nr.gov]. Si erely, for S.Jay Zimmerman, P . Director, Division of Water Resources cc: Winston-Salem Regional Office NPDES File State of North Carolina Environmental ali W R r� Qu ty� ater esou ces 1617 Mail Service Center I Raleigh,NC 27699-1617 919 807 6300 919-807-6389 FAX hugs://deq.nc.gov/about/di vi sion s/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 NCG550166 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, Kimberly A. Woods is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a facility located at 1080 Baker Crossroads Rd Reidsville Rockingham County to receiving waters designated as Rock House Creek, a class C stream in subbasin 03-20-03 of the Roanoke River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This certificate of coverage takes effect November 7, 2016. This Certificate of Coverage shall remain valid for the duration of the General Permit. Signed this day November 7, 2016. for .ay Zimmerman, P.G. I irector, Division of Water Resources By Authority of the Environmental Management Commission PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary Water Resources S. JAY ZIMMERMAN ENVIRONMENTAL 01.1AL:"Y l nreclor °441'A-3NPDES Certificate of Coverage (CoC) OWNERSHIP CHANGE FORM I. Please enter the CoC number for which the change is requested. Certificate of Coverage N CGS 5 U \ tQ to II. Please provide the following for the requested change(revised permit). a. Request for change is a result of: EKChange in ownership of the residence/property ❑ Name change of the facility or owner If other please explain: b. Permit will be issued to(company name, if applicable): c. Person legally responsible for permit: v rnbU‘ f A \N coed First MI Last Vomepwref Title \Ok O 9>C.\C cf Cx oss C o e c. Permit Holder Mailing Address ee‘6 \1\\\� c 21320 City State Zip (3Zlo )(01.2"Cl LP Phone E-mail Address d. Facility name(discharge): e. Facility address: Address City State Zip f. Facility contact person: First MI Last ( ) Phone E-mail Address III. Permit contact information (if different from the person legally responsible for the permit) Permit contact: First MI Last Title Mailing Address City State Zip ( ) Phone E-mail Address IV. Will this permitted facility continue to discharge the same volume and type of wastewater as pri to this ownership or name change? LDS Yes ❑ No(please explain) Revised 9/2016 NCG550000 OWNERSHIP CHANGE FORM • • • Page 2 of 2 VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: This completed application is required for both name change and/or ownership change requests. El Legal documentation of the transfer of ownership(such as a property deed,relevant pages of a contract,or a bill of sale)is required for an ownership change request. The certifications below must be completed and signed by the new applicant in the case of an ownership change request. APPLICANT CERTIFICATION I, ,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 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. (A6;"‘„) 10 /ai j ) V Signature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: NC DEQ/DWR/NPDES 1617 Mail Service Center Raleigh,North Carolina 27699-1617 Revised 9/2016 I PAT MCCRORY 6 Governor DONALD R.VAN DER VAART Secretary Water Resources S.JAY ZIMMERMAN ENVIRONMENTAL QUALITY Director September 9, 2016 CHRISTOPHER ROSS&KIMBE WOODS 2144 RIVERSIDE CIR EDEN,NC 27320 Subject: Wastewater Disposal at 1080 Baker Cross Rd,Reidsville,NC 27320 Certificate of Coverage(CoC)NCG550166 Rockingham County Dear Owners: County tax records list CHRISTOPHER ROSS&KIMBE WOODS as the current owners 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 Charles&Kristy Benton on 6/15/2009.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$60 in overdue annual fees is required to renew and maintain this permit. Please send payment for the enclosed invoice(s): 2011PR007265,2012PR008263,2013PR007115,2014PR007342. (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 Derek Denard at 919-807-6307 or - derek.denard@ncdenr.gov. ly, John E.Hennessy Division of Water Resources,DEQ cc: Winston-Salem Regional Office,DWR WQRO NPDES General Permit Files NOD-2016-RV-0017 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 Rockingham County NC Property Card Page 1 of 4 • 1 DATE 7/14/16 ROCKINGHAM COUNTY PAGE 1 TIME 22:35:50 PROPERTY CARD PROG# AS2006 USER RONNIE FOR YEAR 2016 ��i WOODS CHRISTOPHER ROSS P TD 1_66257 L/ PIN... 7965 00 12 7949 00 WOODS KIMBERLY ALLISON OCATION... 1080 BAKER CROSSROAD DEED YEAKTIKJUN PAL,r... [DID 1496 31 ASSESSMENT NONE 2144 RIVERSIDE CIR PLAT BOOK/PAGE.. 702 467 OWNER ID.. 1313480 ( - LEGAL DESC:2.18 AC DISTRICT.. 124 JACOBS CREEK FD // Area/Fire: 924 JACOBS CREEK ,''��' Ai,- TOWNSHIP... 10 WENTWORTH EDEN NC 27288-8210 NBRHOOD... R110 JACOBS CREEK DESCRIPTION SINGLE FAMILY RES NH CLASS.. DESCRIPTION RESIDENTIAL RES AG COUNTY MAINTAINED 2/17/2016 BY LSTANLEY VALUED.. 2/17/2016 BY LSTANLEY VISITED 2/11/2016 BY HT ROUTING#.. 3400 PARCEL STATUS... ACTIVE CATEGORY.. REAL & PERSONAL SALES HISTORY DEED BK/PAGE SALE DATE SALES INSTRUMENT DISQUALIFIED SALE AMOUNT STAMP AMOUNT DEED NAME 1496 2531 10/09/2015 DEED GOVT/PUB UT/LEN 76,000 WOODS CHRISTOPHER ROSS & KIMBE ye 1470 2378 3/03/2014 DEED FORCED SALE / P 99,000 LOCAL iTUva"RNMLN'r'-Ea'rFLUYEhb CkE 1166 2115 8/22/2003 DEED QUALIFIED 143,000 BENTON CHARLES R II & KRISTY A mph( 1112 1308 8/02/2002 DEED STAMPS BELOW MI TIN LINDA K ' 994 2127 7/09/2002 SPLIT FAST TRACK SPLI MARTIN DONNIE GALE & LINDA LAND SEGMENTS LND STRAT LAND TOT CURRENT # ZONE CODE TYPE/CODE LAND QTY LAND RATE DPT% SHP% LOC% SIZ% OTH% TOP% ADJ FMV 1 RA 100 UB RH 1.000 10,000.00 .00 .00 .00 .00 100.00 .00 .00 10,000 2 RA 100 AC RA 2.180 4,200.00 .00 .00 .00 217.00 90.00 100.00 195.30 17,881 TOTAL ACRES.. 2.180 TOTAL LAND FMV.. 27,881 IMPROVEMENT # 1 MAJOR IMPR-M MAIN FIN AREA.. 2,181.00 ACT/EFF YR/AGE.. 1976 1976 35 VISITED.. 2/11/2016 BY HT W STRAT 100 DESCRIPT.... SINGLE FAMILY DWELLING MAINTAINED.. 2/17/2016 BY LSTANLEY MAIN GROUND SF.... 2,181.000 BUILT USE 01 SINGLE FAMILY DWELLING CURRENT USE.... CR CURRENT USE RESIDENTIAL LOCATION # 1080 BAKER CROSSROAD RD COMPONENT TYPE/CODE/DESC PCT UNITS RATE STR# STR% SIZ% HGT% PER% CDS% COST %CMPL AC AGFD GAR/FIN/WITH DOOR 100 696.00 18.00 1.00 12,528 AC OPR OPEN PORCH RAISED 100 96.00 12.00 1.00 1,152 AC WD WOOD DECK • 100 156.00 9.00 1.00 1,404 • MA RO1 SFR MAIN AREA FRAME 100 2181.00 60.00 1.00 90.00 117,774 EW 04 VINYL SIDING 100 196.00 .00 0 - AR 004 FORCED HOT AIR & CEN100 2181.00 4.50 9,814 - PD EL03 AVERAGE ELECTRIC 100 1.00 .00 0 - PD EX04 VINYL SIDING 100 1.00 .00 0 - PD FL71 CARPET& VINYL 100 1.00 .00 0 - PD FN35 CONTINUOUS WALL BLOC100 1.00 .00 0 - PD •IF03 INT FINISH AVG PLYWD100 1.00 .00 0 http://www.webgis.net/nc/Rockingham/PropertyCard.php?pid=166257 7/29/2016 Rockingham County NC Property Card Page 2 of 4 • DATE 7/14/16 ROCKINGHAM COUNTY PAGE 2 TIME 22:35:50 PROPERTY CARD PROG# AS2006 USER RONNIE FOR YEAR 2016 WOODS CHRISTOPHER ROSS PARCEL ID.. 166257 PIN... 7965 00 12 7949 00 IMPROVEMENT # 1 MAJOR IMPR-M COMPONENT TYPE/CODE/DESC PCT UNITS RATE STR# STR% SIZ% HGT% PER% CDS% COST %CMPL - PD PL03 PLUMBING AVERAGE 100 1.00 .00 0 - PD RFO1 GABLE ROOF 100 1.00 .00 0 - PD RMO1 RF MATERIAL ASPHALT 100 1.00 .00 0 RCN... PCT COMPLETE 100 x 142,672 RCN... COUNTY RCN ADJ 100.00 x 142,672 QUAL.. QG D+ CONSTRUCTION GRADE D 110.00 x 156,939 DEPR.. DA 35 YEARS .00 - 0 ADDL.. PHYSICAL DEPR 40.00 - 62,775 62,775 T 94,164 http://www.webgis.net/nc/Rockingham/PropertyCard.php?pid=166257 7/29/2016 Rockingham County NC Property Card Page 4 of 4 DATE 7/14/16 ROCKINGHAM COUNTY PAGE 4 TIME 22:35:50 PROPERTY CARD PROG# AS2006 USER RONNIE FOR YEAR 2016 WOODS CHRISTOPHER ROSS PARCEL ID.. 166257 PIN... 7965 00 12 7949 00 IMPROVEMENT # 3 MISC IMPR-X COMPONENT TYPE/CODE/DESC PCT UNITS RATE STR# STR% SIZ% HGT% PER% CDS% COST %CMPL MS SP2 SWIMMING POOL VINYL 100 512.00 33.20 110.00 18,698 RCN... PCT COMPLETE 100 x 18,698 QUAL.. QG 000 000 100.00 x 18,698 DEPR.. DA 31 YEARS .00 - 0 ADDL.. PHYSICAL DEPR 80.00 - 14,958 14,958 T FMV... 3,740 TOTAL PARCEL VALUES---- LAND / OVR IMPROVEMENTS / OVR TOTAL LAND/IMPROVE 2015 VALUE FMV 27,881 98,004 125,885 125,885 APV 27,881 98,004 125,885 125,885 • http://www.webgis.net/nc/Rockingham/PropertyCard.php?pid=166257 7/29/2016 Rockingham County NC Property Card Page 3 of 4 • DATE 7/14/16 ROCKINGHAM COUNTY PAGE 3 TIME 22:35:50 PROPERTY CARD PROG# AS2006 4 USER RONNIE FOR YEAR 2016 WOODS CHRISTOPHER ROSS PARCEL ID.. 166257 PIN... 7965 00 12 7949 00 IMPROVEMENT # 1 MAJOR IMPR-M +---13--+ 44 + 1 1 2 2 • + 24 +--13---+ • • • • 2 1 2 9 9 • + 24---- + + 57 + + 4 4 24 + AC AGFD GAR/FIN/WITH DOOR TRAVERSE AC OPR OPEN PORCH RAISED TRAVERSE AC WD WOOD DECK TRAVERSE MA RO1 SFR MAIN AREA FRAME FLOOR: 1.00 TRAVERSE IMPROVEMENT # 2 MISC IMPR-Y MAIN FIN AREA.. ACT/EFF YR/AGE.. 1981 1981 30 VISITED.. 2/11/2016 BY HT STRAT 100 DESCRIPT.... SHED OPEN SIDES MAINTAINED.. 2/17/2016 BY LSTANLEY BUILT USE 20 SHED OPEN SIDES CURRENT USE.... CA CURRENT USE AGRICULTURAL LOCATION # 1080 BAKER CROSSROAD RD COMPONENT TYPE/CODE/DESC PCT UNITS RATE STR# STR% SIZ% HGT% PER% CDS% COST %CMPL MS NA NA 1.00 1.00 QUAL.. QG 000 000 100.00 x 0 DEPR.. DA 30 YEARS .00 - 0 0 T PCT COMPLETE 100 100 IMPROVEMENT # 3 MISC IMPR-X MAIN FIN AREA.. ACT/EFF YR/AGE.. 1980 1980 31 VISITED.. 2/11/2016 BY HT STRAT 100 DESCRIPT.... SWIMMING POOL MAINTAINED.. 2/17/2016 BY LSTANLEY BUILT USE 13 SWIMMING POOL CURRENT USE.... CR CURRENT USE RESIDENTIAL LOCATION # 1080 BAKER CROSSROAD RD • http://www.webgis.net/nc/Rockingham/PropertyCard.php?pid=166257 7/29/2016