WQ0004216_Change of Ownership Notification_20240222

DocuSign Envelope ID: 1A3AE1AD-6E8F-4DD9-AD3E-5FOE038C5217
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERSJR.
Director
NORTH CAROLINA
Environmental Quality
February 22, 2024
ANNETTE G. BARKER AND WAYNE S. BARKER
1260 STALEY BOSWELL ROAD
YANCEYVILLE, NORTH CAROLINA 27379
Subject: Permit No. WQ004216
Change of Ownership
1404 Staley Boswell Rd. SFR
Single -Family Residence
Wastewater Irrigation System
Caswell County
Dear Mr. and Mrs. Barker:
It has come to the Division of Water Resources' attention that the subject single-family residence
wastewater irrigation facility has changed ownership. The Caswell County Register of Deeds indicates that
you acquired the subject property (Parcel No. 0072 002) on May 3, 2023 (Deed Book: 649 / Page: 995).
The wastewater treatment and irrigation system associated with this property are covered under an
individual State -issued non -discharge permit (Permit No. WQ0004216). Accordingly, please complete and
submit the attached Non -Discharge Permit Change of Ownership application (Form: SFRWWIS-CO 03-
21). This form has been prefilled for your convenience.
Once the application is received, Winston-Salem Regional Office staff will conduct a site visit and
provide an overview of the treatment and disposal system. Upon completion of the site visit and review of
the application, a new non -discharge permit will be issued for a length of up to eight years. There is a $60
annual fee associated with this permit, which is not due at this time.
Please complete and submit the attached forms within 30 calendar days of receivinu this
notification. Failure to provide these forms shall result in a Notice of Violation for operating the
subject facilities without a valid permit, which is a violation of G.S. 143-215.1, and may subject you
to appropriate enforcement actions pursuant to G.S.143-215.6A-6C. Civil penalties of up to $25,000
per day per violation may be assessed for failure to secure a valid permit.
If you need additional information concerning this letter, please contact me at [phone] or
alys.hannumkdeq.nc. gov.
Sincerely, DocuSigned by:
GtGfy �
4C22170C5AA04F3...
Alys Hannum, Environmental Specialist
Division of Water Resources
cc: Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)
E Q�� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTH CAROLINA -
DaPamaaof of emironmeafai Quality 919.707.9000