WQ0004983_Renewal (Application)_20190107

NC Department of
Environmental Quality RQY COOPER
Received Gam&
JAN 10 2019 MICHAEL S.REGAN
S�r�tcerp
Winston-Salem LINDA CULPEPPER
-
NORTH CAROLINA
Regional Office
Ea rlrannwntal Qritaffly
January 7, 2019
JEFFREY H.RUDD
6222 RIDGEVILLE ROAD
LEASBURG,NORTH CAROLINA 27291
Subject: Permit No. WQ0004983
Permit Renewal Notification
6222 Ridgeville Rd. SFR
Single-Family Residence
Wastewater Irrigation System
Caswell County
Dear Mr. Rudd:
Division of Water Resources'records indicate that your permit (Permit No. WQ0004983), which
was issued March 7, 2014, expires July 31, 2019. To date, the Division has not received a renewal
application. It is a condition of your permit and required by administrative code 15A NCAC 02T .0109 to
request renewal of your permit at least 180 days prior to its expiration.
As the Permittee, you are responsible for renewing and maintaining this permit. Accordingly,
please complete and submit the attached Single-Family Residence Wastewater Irrigation System Renewal
application (Form: SFRWWIS-R 09-18), and the Single-Family Residence Wastewater Irrigation System
Operation and Maintenance Agreement(Form: SFRWWIS-O&M 09-18). These forms have been prefilled
for your convenience.
Once the application is received,staff from the Winston-Salem Regional Office will conduct a site
visit and inspect your treatment and disposal system. Upon completion of the site visit and review of your
application, a new non-discharge permit will be issued in your name for a length of five years.
Please complete and submit the attached application within 30 days of receiving this
notification. Be advised that operation of the subject facilities without a valid permit is a violation of
General Statute 143-215.1, and may subject you to appropriate enforcement actions in accordance with
General Statute 143-215.6A-6C. Civil penalties of up to$25,000 per day per violation may be assessed for
failure to secure a permit as required by General Statute 143-215.1.
If you need additional information concerning this letter, please contact me at [phone] or
nathaniel.thomburg(d,ncdenr.gov.
Sincerely,
Nathantof
hornburg,Branch Chi f
Divisioater Resources
cc: �W�inston Salem egi naffice;aterQualtyRegionalOperations_Sec"tion>
Central Files
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North Carolina Department of Environmental Quality I Division of Water Resources I Non-Discharge Branch
512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617
919.707.3654