WQCS00055_NOV-2022-DV-0136 GC_20220516

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Certified Mail # 7020 3160 0000 4109 5855
Return Receipt Requested
Terrell Blackmon, City Engineer
City of Henderson
PO Box 1434
Henderson, NC 27536-1434
NORTH CAROLINA
Environmental goat)
0
May 10, 2022
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2022-DV-0136
Sanitary Sewer Overflows - April 2022
Collection System Permit No. WQCS00055
Henderson Collection System
Vance County
Dear Mr. Blackmon:
7020 3160
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. : r a Fees (check box. add fee as appropriate)
❑ Rearm Receipt (hardtop) $
❑ Return Receipt (electronic) $
❑Cerefted Mall Restricted Delvery $
❑Adua Signature Required $
❑AldlrM Srpr aturs Restricted Daavary $
Postage
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Sent To
6treet andr oY
U.S. Postal Service'""
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
For detx':ery •1.rr iir MA..
OFFICIAL USE___
S:erkMed Mail Fee
Postmark
Here
Terrell Blackmon, City Engineer
City of Henderson
PO Box 1434
Henderson, NC 27536-1434 M 5.12.22
NOV-2022-DV06136 WQCS005S Henderson Coll Sys SSO
PS Form 3900, • ril 2015 F al 7$3c elro.so4r SAP poveree for instructions
The self -reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by City of Henderson indicates
violations of permit conditions stipulated in the subject permit and North Carolina G.S. 143-215.1. Violations include
failing to effectively manage, maintain, and operate the subject collection system so that there is no SSO to the
land or surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for
which a permit is required.
Specific'
SENDER: COMPLETE THIS SECTION
■ Complete items 1, 2, and 3.
Incide: is Print your name and address on the reverse
Numbs so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
202200' or on the front if space permits.
1. Article Addressed to:
Remedir
a writte
busines
in the rc
the cite
Terr lackmon, City Engineer
City a derson
PO Bo 4
ienderson, NC 27536-1434 M 5.12.22
NOV-2022-DV00136 WQCS0055 Hende son Coll Sys SSO
9590 9402 6851 1060 2376 47
2. Article Number (Transfer from service label)
B. Received by (Printed Name) {
/Karl( (A55;.{r/ti,Y
D. Is delivery address different i�om 1?
If YES, enter delivery dressl elo . j S
Vol
ce
ter
Is) DWR Action
ittery -
0 Notice of Violation
3. Service Type
❑ Adult Signature
0 Adult Signature Restricted Delivery
Certiffed Maim
❑ Certified Mall Restricted Delivery
❑ Collect on Delivery
0 Collect on Delivery Restricted Delivery
bred Mali
r' 0 2 0 3160 0000 4109 5855 u �,t Restricted Delivery
0 Priority Mail Expresse
cI Registered Malin'
0 Registered Mail Restricted
re Canfinnationr
0 Signature Confirmation
Restricted Delivery
mpliance. Please submit
nal office within 15
ion about this incident(s)
II assess a civil penalty for
sources
P5 Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt