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Home My WebLink AboutNCG551569_Owner (Name Change)_20230626ROY COOPER Gov el fzw EL_IZABETH S. BISER it r ! an S. DANIEL .SMITH Vileetor 66�e'e IRN NOR T r 1 C PC) L1NA Environmental Quality BVED JUN ;: 6 ';;2 NPDES Certificate of Coverage (CoC) 1)4CDEQ/D1/NPDES NCG550000 OWNERSHIP CHANGE FORM I. Please enter the CoC number for which the change is requested. Certificate of Coverage N I C I G 1 S 1 5 II. Please provide the following for the requested change (revised CoC). a. Request for change is a result of: ❑ Change in ownership of the residence/property ❑ Name change of the facility or owner If other please explain: t° ' b. CoC will be issued to (pers n's name o,, or company name, if applicable): c i-e n+ n Lo ji e c. Owner: person legally responsible for al CoC: ��1CA�'11 5 Y-o r (� First MI Last ('j'P�C( l) Nip Title Permit Hol r Mailing Address o i Lana rv�_ a) 91 � (91q) City la (oJ)1,3 State Zip Mary'brj ooatb 0 yahoo, Phone E-mail Address G o rh d. Facility name (if applicable): 9Q3 , C e C_ e. Facility address: ce Address City State Zip f. Facility contact person: �`�(� 1^�Q ,1 G V e [if different from Owner] First MI Last Phone E-mail Address III. Contact person (if different from the person legally responsible for the CoC) First MI Last , e.,-- RECEIVED Title J U N Z 6' 23 Mailing Addre City State Zip a11%nEQ/DWR/NPDES ( ) Phone E-mail Address t:�,_—D�� q North Carolina Department of Environmental Quality ; Division cif Water Resource � S11 North salislmry Street f 1611 Mail Service Center 1 i{aaleiyta, Ntsrth Carolina 21ti99-Ibi1 NCG550000 OWNERSHIP CHANGE FORM Page 2 of 2 I►TA Will this permitted facility continue to discharge the same volume and type of wastewater as pto this ownership or name change? rio Yes ❑ No (please explain) Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS V. ARE INCOMPLETE OR MISSING: ❑ This completed application is required for both facility -name change and/or facility ownership change requests. ❑ Legal documentation of the transfer of ownership (such as a property deed, relevant pages of a contract, op bill of sale) is required for an ownership change request. ....:c�._.Qi..t::.l......................................... The certifications below must be completed and signed by the new applicant in the case of an ownership change request. 1,PR Me CI TI� N I, �� 11 �� e t th t�fis a li a ion for aname/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as incomplete. i ature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Mr. Charles H. Weaver NC DEQ / DWR / NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 charles.weaver@ncdenr.gov 7510 • CURRENT FORD MARY S Total Assessed Value 723 QUIL ST '23 JONQUIL ST DURHA ,NC,27 $127,15 DURHAM, NC, 27712 Y INFORMATION Ix District CNTY-DRHM/FD-LEBANON :count 8591886 Ind Use Code 111 ibdiv Code 2585 3ed Book & Page 007267 / 000195 Ist Sale Date: 05/17/2013 In 1sl Owner: FORD MARY S ?gal Description: NORTH PARK DEV/LT#10 SESSMENT DETAILS Ind Fair Market Value 1provement Fair Market Value Ital Fair Market Value IILDING DETAILS 187510 1 0/02/201 7 PIN Neighborhood Land Use Desc Subdiv Desc Plat Book & Page: Last Sale Price: a .'�r1 Cif 341 0826-22-65-8930 R816C RES/ 1-FAMILY NORTH PRK DEV 000058 / 000065 $110,500 $25,830 $101,325 $127,155 ^ Residential Building(1) Assessed Total Improvement Value $101,3' Year Built: Current Use Heated Area (S/F): Half Bathroom(s): Fireplace (Y/N): Basement Unfinished: Basement Partially Finished: Assessed Building Value: ND DETAILS %ND FAIR MARKET VALUE (FMV) '5,830 LES %LES DATE V17/2013 V30/2004 JKS !Ipful links: iam County - Tax Bills iam County- Map 1968 Suitt Use / Ranch RANCH RESIDENTIAL Percent Complete: 100% 1,080 Full Bathroom(s): 1 0 Bedroom(s): 3 N Basement (Y/N): N - Basement Finished: - - Attached Garage(Y/N): N $101,325 LAND ASSESSED VALUE $25,830 SALE PRICE 110,500 108,000 Median Residential House Price MAPPED ACRES 0.477 10,000,000 5,000,000 0 - • • •- - - -5,000,000 201903 2019 Q4 202001 2020 Q2 2020 Q3 2020 Q4 2021 Q1 2021 Q2 2021 Q3 2021 04 2022 Q1 2022 02 Residential Assessed Values Low $1 c', Median $181,091 High $784,761 c; Res. Sales by Type SFR Residential Sale Prices Biggest Sale $1,051,000 Average Home Price $312,000 Lowest Sale $6,000 cs Disclaimer )ata Disclaimer: All data shown here is from other primary data sources and is public information. Users of this data are hereby notified that the aforementioned public information sources should be consulted for verification of the information contained on this vebsite. This site presents appraised value which may not represent taxable value. While efforts have been made to use the most current and accurate data, Durham County, NC and Data Providers assume no legal responsibility for the use of the information :ontamed herein. Tease direct any questions or comments about the data displayed here to tax_assessor@dconc.gov RECEIVEDNC DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES JUN 6 __J23 WATER QUALITY PERMITTING SECTION NORTH CAROLINA NPDES PERMITTING EnvlronmentalQuallty NCDEQ/DWR/NPDES PERMIT NAME/OWNERSHIP CHANGE FORM CURRENT PERMIT INFORMATION: Permit Number: or NCG5_:2/_./�/,�/_k_/_2 1. Facility Name: �2 3 JU�� [� %� S�✓�c t NEW OWNER/NAME INFORMATION: 1. This request for a name change is a result of: .� a. Change in ownership of property/company 2 3 b. Name change only c. Other (please explain): New owner's name (name to be put on permit): ' t rd New owner's or signing official's name and title: rLA S,o ruC (Person legallyLeponsible for permit) (Title) 4. Mailing address: Jy� Iy City: State: ! V Zip Code: r 1 Phone: (� ) E-mail address: III. FACILITY AND DISCHARGE INFORMATION C_a 1. Will the waste stream for the facility remain the same as under the previous owner? YesS No ❑ 2. Will the treatment system and discharge location remain the same? Yes)Z No ❑ "No Responses" If either or both of these questions are answered "No" then more information will be needed to review the request. Please attach documentation to describe and explain the changes to the facility activities, waste stream, treatment process or outfall location. The Division may not be able to process the Permit Name/Ownership Change request and may require that the new owner file a new permit application. North Carolina Department of Environmental Quality I Division of Water Quality F. 512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617 '�/ 919.707.9000 NPDES Name and Ownership Change Page 2 of 2 THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL. REQUIRED ITEMS: 1. This completed application form 2. Legal documentation of the transfer of ownership (such as a property deed, articles of incorporation, or sales agreement) Information to document facility, waste stream, treatment system or outfall changes as noted in item III above (if appropriate) Applicant's Certification: I, -'s ► FQattest that this application for a name/ownership nge has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. I understand that Permit Name/Ownership Change can only take place through action taken by the Division of Water Resources and that no actions on my part or the part of my company result in the automatic transfer of permit coverage. Signature: Date: I THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS: NC DEQ / DWR / NPDES 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Version 07/2021 United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 OMB No. 2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN 1 2 15 I 3 I NCG551569 111 121 22/07/20 I17 181 � I 19 L s I 201 I 211111 11 l l l I II 11 1 I I I I I I I I I I I I I I I I I I I I II 11 1 I 1166 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----------- —-------- Reserved ------------------- 67 72 —N 73I 74 75I I I I I I I80 70 LJI 71 Lj Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 10:15AM 22/07/20 13/08/16 723 Jonquil Street Exit Time/Date Permit Expiration Date 723 Jonquil St 10:35AM 22/07/20 18/07/31 Durham NC 27712 Name(s) of Onsite Representative(s)Ttles(s)/Phone and Fax Number(s) Other Facility Data FD f-S q(of-sw 47, Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Melissa T Nolan,723 Jonquil St Durham NC 27712/// No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 0 Operations & Maintenar 0 Records/Reports Facility Site Review Effluent/Receiving Wate Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Insp for ) Agency/Office/Phone and Fax Numbers Date James Westcott DWR/RRO WQ/919-791-4247/ Signal re of Managemen A Reviewer Agency/Office/Phone and Fax Numbers Date 9/f- �'7Aftz3Z V4 241 Z�-2 L EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type NCG5!2! �� 1 1 22/07/20 17 18 L Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Page# Permit: NCG551569 Owner - Facility: 723 Jonquil Street Inspection Date: 07/20/2022 Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ N ❑ application? Is the facility as described in the permit? 0 ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ 0 ❑ ❑ Is access to the plant site restricted to the general public? ■ ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: Disinfection - UV Yes No NA NE Are extra UV bulbs available on site? ❑ ❑ ❑ M Are UV bulbs clean? N ❑ ❑ ❑ Is UV intensity adequate? 0 ❑ ❑ ❑ Is transmittance at or above designed level? 0 ❑ ❑ ❑ Is there a backup system on site? ❑ ❑ 0 ❑ Is effluent clear and free of solids? ❑ ❑ ❑ Comment: Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? 0 ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ 0 ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑ Comment: Page# 3 '; STATs ROY COOPER Oove,,wf ELIZABET14 S. BISER jer'?'i,'PtZf'b S. DANIEL SMITH vFd e Environmental Quality NPDES Certificate of Coverage (CoC) NCG550000 OWNERSHIP CHANGE FORM I. Please enter the CoC number for which the change is requested. Certificate of Coverage N I C I G 15 1 5 1 II. Please provide the following for the requested change (revised CoC). a. Request for change is a result of. '25. Change in ownership of the residence/property ❑ Name change of the facility or owner If other please explain: b. CoC will be issued to (person's name or company name, if applicable): c. Owner: person legally responsible for CoC: rt(A First MI Last Title Permit Hol er Mailing Address G a City State Zip R a_&& 13 t1)aruu 'Pn(,& Oba� Phone E-mai ddress Cool d. Facility name (if applicable): e. Facility address: ain n4l u flush44dress Cim Mr- a�� I j City State Zip f. Facility contact person: [if different from Owner] �(�, jry� a First MI Last Phone E-mail Address 111. Contact person (if different from the person legally responsible for the CoC) :j Ott' e First MI Last Title Mailing Address City State Zip KO� Phone E-mail Address North Carolina Department of Environmental Quality Division of Water Resources 512 N(>Oh Sabsbuty Sire et ! t{,ii Mail Service Center I Raleigh, Not th Caralina 21699-Ib17 NCG550000 OWNERSHIP CHANGE FORM Page 2 of 2 IV Will this permitted facility continue to discharge the same volume and type of wastewater as p r to this ownership or name change? Yes ❑ No (please explain) V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: ❑ This completed application is required for both facility -name change and/or facility ownership change requests. ❑ Legal documentation of the transfer of ownership (such as a property deed, relevant pages of a contract, or a bill of sale) is required for an ownership change request. The certifications below must be completed and signed by the new applicant in the case of an ownership change request. APPLICANT CERTIFICATION I, , attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as incomplete. f as i ature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Mr. Charles H. Weaver NC DEQ / DWR / NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 charles.weaver@ncdenr.gov