WQ0006229_Recission_19930413

State of North Carolina Department of
Environlnont, Health and Natural Resources
Division of Environmental Management
P.O. Box 29535
Raleigh, N.C. 27626-0535
APjt,VJAL ADAM JISTtiRINO ANID) CO)'!PLIAPICI= INVOICE
f€C3VITC3€{II1G FEE DATE: 04/13/93
ANNUAL FEE PERIOD 03/01/93 — 02/713/94
PAYMENT DUE DATE 05/13/93
ANNUAL FEE FOR NON--NPl7z_ S PER 1iT �r �4C;Q005229 X450.00
LESS DISCOUNT FOR COMPLIANCE $150.00
NET ANNUAL FEE -PAY THIS AMOUNT
D EUELL C1 S.r7C—FAI11'UP0WU 1D5 7
PO 13OX 783
STATEwSVILLF: "IC 2:3677
ATTN: JFJEL MASH'_WRN
Keep This Portion For Your Records
Return This Portion With Check
ANNUAL FEE PERIOD 03/01/43 — 07/2€3/94
PAYMENT DUE DATE 05/13/93
ANNUAL FEE FOR €1+ON-1.1POES PEP�'[T Jr' ;4QJCrJ,a229 $450.00
LESS DISCOUNT FOR COMPLIANCE $150, 00
NET ANNUAL FEE -PAY THIS AMOUNT
PERMITTEE:
IREDELL CO '-,OC—FAIRGf".;1UNDS 7
PO 30X 7313
STATE5VILLE ,'JC 288)77
$300.0`!1
5300.001
INVOICE
DATE:
04/13/93
Remit To:
Environment, Health and Natural Resources
Division of Environmental Management
P.O, Box 27687 —`j
Raleigh, N.C. 27611-7687'
i

NON-PAYMENT OF THOS FEE BY TH
PAYMENT DDE DATE WILL INITIATE
THE PERMIT REVOCATION PROCESS
This annual fee is required by the North Carblina Administrative Code for the cost of administering
and compliance monitoring for an environmental permit. This is not a renewal fee or a penalty.
It is required of any person holding a permit for any time during the annual fee period, regardless of
the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation.
Operation of a treatment facility without a valid permit is a violation and subject to a $10,000 per day fine.
If the permit is revoked and you later decide a permit is needed, you must reapply, with the
understanding the permit request may be denied due to changes in environmental, regulatory, or modelling
conditions. If you do no not wish to continue to hold the permit referenced on the front of this notice,
please complete and sign the statement below and return. If you have questions, please contact the
Annual Administering and Compliance Monitoring Fee Coordinator at 9191733-7015 - Ext. 210.
I have read and understand the above information. It is my desire to not pay this fee and
hereby request that Permit No. be rescinded.
Print or type name of permitee or agent Signature of permittee or agent mate

NON NPDES FACILITY AND PERMIT DATA
'IEVE OPTION TRXID 60U KEY WQ0006229
ERSONAL DATA FACILITY APPLYING
FOR PERMIT APP/PERMIT FEE-$ 400.00
FACILITY NAME> IREDELL CO BOC -FAIRGROUNDS 7
COUNTY> IREDELL
ADDRESS: MAILING (REQUIRED) ENGINEER:
H. CARSON FISHER, P.E_
STREET: PO BOX 788
STREET:
PO BOX 788
CITY: STATESVILLE ST NC
ZIP 28677 CITY:
STATESVILLE ST NC
TELEPHONE [phone]
TELEPHONE:
704 878 3054
STATE CONTACT> GLEASON/MP
FACILITY
CONTACT JOEL MASHBURN
'YPE OF PROJECT> PUMP & HAUL
LAT: LONG:
TATE AFP RCVD 03/06/92
N=NEW,M=MODIFICATION,R=REISSUE>
N
TATE ACKNOWLEDGED 03/10/92
DATE REVIEWED
/ / RETURN DATE
'.EG COMM REQS / /
DATE DENIED
/ / NPDES #-
'.EG COMM RCVD / /
DATE RETURNED
f / TRIB Q
,DD INFO REQS / /
OT AG COM REQS
/ / TRIB DATE -
,DD INFO RCVD / /
OT AG COM RCVD
REGION
03
ZIP 28677
.0000 MGD
ND STAT APP P 06/04/92 DATE ISSUED 03/12/92 DATE EXPIRE 09/12/92
'EE CODE( 3)1=(>lMGD),2=(>10KGD),3=(>1KGD),4=(<lKGD+SF),5=(S>300A),6=(S<=300A),
=(SENDEL),8=(SEDEL),9=(CLREC),O=(NO FEE) DISC CODES 03 ASN/CHG PRMT
ING CERT DATE / / LAST NOV DATE / / CONBILL( )
',OMMENTS: 9000 GPD
fESSAGE :