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Home My WebLink AboutNCG550486_Renewal (Application)_20201008 a euu� TEN ROYCOOPER - , f 41,1� Governor �" "i- f 10 ' MICHAEL S.REGAN I'�"M1t° Secretary -zt,,��S. DANIEL SMITH NORTH CAROLINA Director Environmental Quality October 08, 2020 Roy Riddle, Jr 3041 Wagonwheel Ct Belmont, NC 28012 Subject: Permit Renewal Application No. NCG550486 3041 Wagonwheel Court Gaston County Dear Applicant: The Water Quality Permitting Section acknowledges the October 2, 2020 receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. Sincere Jr ito11141, Wren Thedford Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application D1 ., N•]rtYCaro ra7eoartrreDtafEnvrrmerta QUelity I Divsonoflti'aterRea�uroas Q f« Nrnresv a Fegana Off Der 181D Eas �rterAvenue,Surte 3�1 I Mooresv e,North .aro pa 28115 V ' PAT MCCRORY �'w,r (�ur.•rqr • DONALD R. VAN DER VAART S. JAY ZIMMERMAN Water Resources ENVIRONMENTAL QUALITY !)Int,u,. RENEWAL FORM FOR EXISTING PERMITTED FACILITIES NPDES renewal application for continued coverage under General Permit NCG550000: Certificate of Coverage NCG550486 (Please verify the information in items 1 & 2 as correct, or note any corrections that should be made.) (Please print or type) 1) Mailing address*of property owner: OC i 2020 Owner Name Roy Riddle NCDEQ/a024# jj [��n� Street Address 3041 Wagonwheel Court Laserfiche City Belmont Telephone (Home) (704) 825-5761 (Mobile) (704) 860-0120 (e-mail address) rfriddlejr@aol.com * Address to which all permit correspondence will be mailed 2) Location of facility producing discharge*: Street Address 3041 Wagonwheel Court City: Belmont County Gaston Telephone (Home) (704) 825-5761 (Mobile) (704) 860-0120 * If the facility is not yet constructed, give the street address or lot number where the structure will be built. 3) Description of Discharge: a) Type of facility producing waste (please check one): X Primary residence Vacation/second home DI Undeveloped property El Other [describe]: Page 1 of 2 NCG550000 renewal form 4) Please check the components that comprise the wastewater treatment system: X Septic tank 0 Dosing tank X Primary sand filter 0 Secondary sand filter ❑ Recirculating sand filter(s) X Chlorination Dechlorination 0 Other form of disinfection: X Post Aeration(describe) Rip-rap cascade 5) Other Information: a) When was the septic tank last pumped out? 8/10/2020 NOTE: the septic tank must be pumped out at least once every 3-5 years b) Is the facility [home] occupied year-round, or only seasonally? Year-round c) Approximately how many people use the facility when it is occupied? 2-3 d) When was the wastewater system installed? 7/1993 6) Certification: I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: Roy F. Riddle,Jr. RAI • ; 212. Hit 9/29/2020 (Signature of Applicant) (Date Signed) North Carolina General Statute 143-215.6 b (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report,plan or other document filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both,for a similar offense.) Mail this completed form and a copy of the receipt for your last septic service to: Charles H. Weaver NC DEQ /DWR/NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 Page 2 of 2 Wind River Environmental LLC. Invoice Stanley environmental •131 Mariposa Rd solutions Stanley NC 28164 a Acquisition: Stanley Environmental Billing Questions: 877-263-8186 Service Questions: 877-263-8186 BILL TO JOB SITE Customer Number: 1895982 Sherry Riddle Primary Home Sherry Riddle 3041 Wagonwheel Court 3041 Wagonwheel Court Belmont, NC 28012 Belmont, NC 28012 Sherry Riddle/Home Service Date: 10-Aug-2020 Invoice Number: 4697686 Order Number: 6870169822 P.O.Number: Invoice Date: 12-Aug-2020 Order Date: 06-Aug-2020 Quantity Service Type Amount Tax 1.00 Environmental Compliance-Residential $3.00 $0.00 1.00 Pumping 1000 $250.00 $0.00 1.00 Fuel/Energy Recovery $15.00 $0.00 1.00 Digging 07-12 inches $0.00 $0.00 Subtotal Non Taxed: $268.00 Subtotal Taxed: $0.00 Tax: $0.00 Subtotal : $268.00 Less : Credits: $0.00 Payments: $268.00 Balance: $0.00 Payment Terms: Due on Receipt From: Please detach here and return the bottom portion with your payment. Customer Number: 1895982 Order Number Invoice Number Invoice Date Amount Due Sherry Riddle 3041 Wagonwheel Court 6870169822 4697686 12-Aug-2020 $0.00 Belmont, NC 28012 If your payment is returned NSF it will be re-presented electronically,and you will be assessed a processing fee,the maximum allowed by law. Remit To: To pay your invoice,please call 978.841.5080.We accept the following credit cards within 30 Wind River Environmental LLC. days of the invoice date.When paying your invoice with a credit card,Wind River Environmental will appear on your credit card statement for this transaction.For questions P.O. Box 22074 please visit www.wrenvironmental.com/policies or call 800.499.1682 New York, NY 10087-2074