WQCS00144_Second Reminder: Permit Renewal_20220725

DocuSign Envelope ID:04451B88-65E5-4471-80B9-6A0B40548DA5
ROY COOPER } 'f ` >''
Governor " t �.
ELIZABETH S.BISERn
Secretary
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
July 25,2022
Certified Mail#7019 1120 0001 4877 5690
Return Receipt Requested
Kevin Baughn,Town Manager
Town of Madison
120 N Market Street
Madison,NC 27025
Subject: Second Reminder:System-Wide Collection System Permit Renewal
Madison Collection System
Permit No.WQCS00144
To Whom It May Concern,
This letter is a reminder that the above referenced permit is set to expire on 12/31/2022.Per 15A NCAC 02-1.0109,
a renewal application should have been received 180 days prior to expiration,which in this case was no later than
7/4/2022. Since this date has passed,please respond immediately—failure to submit the renewal application
prior to the expiration date listed above may result in enforcement action being taken. 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-
bra nch/col lection-systems/syste m-wid e-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(on a CD or flash drive)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 Michael.Montebello(a)ncdenr.gov.
Sincerely,
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‘-klidiriitfel'i@ 9Pftibello,NPDES Branch Chief
Municipal Permitting Unit,Division of Water Resources
cc: Winston-Salem Regional Office,Water Quality Regional Operations Section
Municipal Permitting Unit Files—WQCS00144
® North Carolina Department of Enviromneutal Quality I Division of Waiter Resources
512 North Salisbury Street 11611 Mail Service Center I Raleigh,North Carolina 27699-1611
NOTM CAM INA ® / 919.707.9000
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