WQ0003158_Rescission Approval_20200813

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
Division of Water Resources NON -DISCHARGE PERMIT RESCISSION REQUEST FORM
August 11, 2020
To: MRO-WQROS: Andrew Pitner / Corey Basinger
From: Nathaniel D. Thornburg, Water Quality Permitting Section - Non -Discharge Branch
Permit Number: WQ0003158
Permittee: Kimberley A. Kocik
Facility Name: 5311 Flint Ridge Church Rd. SFR
Comments: See previous emails with the Permittee.
Permit Type: Single -Family Residence Wastewater Irrigation
Date Rescission Requested: August 10, 2020
Date of Last Inspection: January 25, 2019
Please complete this form and return to the Central Office within 30 days of receipt.
❑ Site visit performed.
® Permit rescission approved
Comments: Installation of Union County EH sub -surface system complete.
WQROS Reviewer: 7�
❑ Permit rescission denied.
Date: 08-13-2020
FORM: WQROSNDPRR 08-17 Page 1 of 1