WQCS00033_System Permit Renewal Reminder_20220321

DocuSign Envelope ID:8979C317-15BE-4DFD-9BB9-4A083E80128B
ROY COOPER I 4e�,
GovemorIt yr.
ELIZABETH S.B1SER
Secretary +ftamvd`
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
Barbara Jones,City Manager
City of Mount Airy
300 S Main St
Mount Airy, NC 27030
Subject: System-Wide Collection System Permit Renewal Reminder
Mount Airy Collection System
Permit No.WQCS00033
To Whom It May Concern,
This letter is a reminder that the above referenced permit is set to expire on 4/30/2023. Per 15A NCAC
02T.0109,a renewal application should be received 180 days prior to expiration,which in this case is no later
than 11/1/2022. If this date has passed, please respond immediately to avoid a compliance violation. The
application for the renewal can be downloaded using the following steps:
• Go to: https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-
branch/col lection-systems/system-wide-collection-system-permitting
• Click on Wastewater Collection System Application—New/Renewal(Form CSA 04/16)
The original application,signed by an authorized signing official,with requisite supporting documentation as
well as one digital copy of the complete application packet must be submitted to the following address:
Via USPS: Via Other Couriers:
DWR-Municipal Permitting Unit DWR-Municipal Permitting Unit
Attn:WQCS Renewals Attn:WQCS Renewals
1617 Mail Service Center 512 N.Salisbury St.,9th Floor
Raleigh, NC 27699-1617 Raleigh,NC 27604-1170
If you have any questions,please contact Michael Montebello at [e-mail].
Sincerely,
CDoeuSigned by:
C464531431644FE..
Michael Montebello,Supervisor
Municipal Permitting Unit
Division of Water Resources 1
cc: Winston-Salem Regional Office,Water Quality Regional Operations Section
Municipal Permitting Unit Files-WQCS00033
Q rt Ca Quality I
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No Northh SalisburyrolinaDepartment Street 1 of1b17 Mall ServiceEnvironmental Center I Raleigh,Division NorthofWater Carolina
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