WQ0034715_NOV-2024-PC-0165 USPS_20240330

DocuSign Envelope ID: C208FBIF-42BE-49B4-97A5-DA64C1E347C0
Certified Mail # 7020 3160 0000 4109 6999
Return Receipt Requested
Susan Dunnavant, COO
Concert 12 Oaks LLC
300 International Pkwy
Ste 150
Lake Mary, FL 32746
117
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`D 5 Total Paste SUSAN OUNNAVANT [00
M CONCERT 12 OAKS, LLC
�' 3001NTERNATIONAL PKWY, STE 150
m Sent To WE MARY,R. 32746
Ma EL LVO:NOV&IMTOAS
O Sfieef d WOW34TI5/MONCSESS CIVIL PENALTY/MOV-2023�PC-0163
URI COMM HEALTH [EMER/[HATN
(ti 20203160pp00p1096999 MA3/22/2020 CIN 8WK.
SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2024-PC-0165
Permit No. WQ0034715
The Club at 12 Oaks
Wake County
Dear Permittee:
A review of the September 2023 Non -Discharge Analysis Report (NDAR1) for the subject facility revealed the
violation(s) indicated below:
Reporting Violation(s):
Report Period Due Date
Type of Violation
September 2023 10/31/2023 Late/Missing NDAR-1
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's Non -discharge Permit. Pursuant to G.S. 143-215.6A, a civil penalty of
not more than twenty-five thousar,�' " f&nc nnn nm m-a, he aa<accPri Anainat anv nerson who violates or
fails to act in accordance with the
143-215.1.
If you wish to provide additional it
discuss overall compliance please
review of your response will be cc-
Report(s). You will then be notifi
response is received in this OI
prepared.
Remedial actions should have alrt
future. The Division of Water Re
State law. If the violations are o
and you anticipate remedial const
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space nermits.
SUSAN OUNNAVMT, COO
CONCERT n OAKS, LLC
"INTERNATIONAL PKWY, STE 150
LAKE MARY, R. 32746
WO:NOV & INTTO ASSESS CIVIL PENALTY/NO110d3-pc43165
Wg0034715/MONCURE COMM HEALTH CENTER/CHATN _
70203160000043096999 M.,R/22/N124 �y
IIIIIIIIII'IIIIIIIIIIIiIIIIIIIIIIIIIIIII III III
9590 9402 8490 3186 0212 44
X ❑ Agent
❑ Addre
B. Received by (Hinted Neme) C. Date of Deli
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
a. service type ❑ Priority Mail Express®
❑ Adult Signature ❑ R i t red M IITs
7020 316D 0000 4109 6999
uoil SSig��I� Restricted Delivery
all a
❑ Registered Mail Restricted
ery
lifted Mail Restricted Delivery
natureCorfirmetlon-
IleaonDelivery
Signature CDnOrmaliDn
' 1 Delivery Restricted Delivery
Restricted Delivery
PS Form 3511. July 2020 PSN 7530-02-DOO-9053 Domestic Return Receipt ,

ALERT: SEVERE WEATHER CONDITIONS ACROSS THE U.S. MAY DELAY FINAL DELIVERY OF ...
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70203160000041096999
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Latest Update
Your item has been delivered to an agent for final delivery in LAKE MARY, FL 32746 on March 30, 2024 at
10:53 am.
Get More Out of USPS Tracking:
USPS Tracking Plus°
Delivered to Agent
Delivered to Agent for Final Delivery
LAKE MARY, FL 32746
March 30. 2024. 10:53 am
Out for Delivery
LAKE MARY, FL 32746
March 29, 2024, 7:15 am
Arrived at Post Office
LAKE MARY, FL 32746
March 29, 2024, 7:04 am
iIn Transit to Next Facility
March 28, 2024
0 Arrived at USPS Regional Facility
ISEMINOLE-ORLANDO FL DISTRIBUTION CENTER
March 27, 2024, 10:50 am

Departed USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
March 23, 2024, 2:51 am
Arrived at USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
March 23, 2024, 1:46 am
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