WQ0034715_NOV-2024-PC-0164_USPS 20240325

DomSign Envelope ID: C916E40D-B78D-43B8-8329-D52DE353DC92
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Certified Mail # 7020 3160 0000 4109 6982 C3
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Return Receipt Requested o
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March 20, 2( m
Susan Dunnavant, COO ru
Concert 12 Oaks LLC r-
300 International Pkwy
Ste 150
Lake Mary, FL 32746
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SUSAN OUNNAVANT, COO
CONCERT 12OAKS, LLC
3001NTERNATIONAL Pk WY, STE 150
TARE MARY, FL 32746
WQ:NOV&INTTOASSESS CIVIL PENALTYIENT ONATH 164
WQOD3471S/MONCURECOMM1 HEALTH )/E2/203[ENTER/CNATN
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SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2024-PC-0164
Permit No. W00034715
The Club at 12 Oaks
Wake County
Dear Permittee:
A review of the August 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
August 2023 9/30/2023 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 thousand dollars ($25,000.00) may be assessed against any person who violates or
fails to act in accordance with the terms, conditions, or requirements of anv nermit --• --- - • -
143-215.1. _
If you wish to provide additional '
• Complete items 1, 2, and 3.
❑ Agent
discuss overall compliance please
address on the reverse
❑ Addle
review of your response will be cc
Pont your name and
so that we can return the card to you.
(Printed Name) C. Date of Del
Report(s). You will then be notifi
a Attach this card to the back of the ma 1piece,
response is received in this Of
oron the front if space permits.
sdtferenthol lli f4
❑ No
t, A»r,.m AAAro==ed rn`
livery address below:
rd
SUSAN DUNNAVANL000
360IMO4NAl10NAL PYSVY, STE 150
LAIC MARY, FL 32746
WQ:NOV & INT TO ASSESS CIVIL PENALTY/NOV-1021PC-0164
WQOD34715/MONCURE COMM NEALM CENTM/CNATN
70203160000641096982 M:03/22/2024
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7020 37160 0000 4109 6982
tCeN Mail ReWded DeHV6y
Collect on Delivery
called on Delivery Restricted Delivery
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I F3esMded Delivery
♦JIDIed
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Signature DDIII, bn
Restricted Delivery
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Rstum Receipt

ALERT: SEVERE WEATHER CONDITIONS ACROSS THE U.S. MAY DELAY FINAL DELIVERY OF ...
USPS Tracking° FAOs >
Tracking Number: Remove X
70203160000041096982
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Copy Add to Informed Delivery (https://informeddelivery.usps.com/)
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Latest Update
Your item was delivered to an individual at the address at 11:09 am on March 25, 2024 in LAKE MARY, FL
32746.
Get More Out of USPS Tracking:
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Delivered
Delivered, Left with Individual
LAKE MARY, FL 32746
March 25, 2024, 11:09 am
Arrived at USPS Regional Facility
SEMINOLE-ORLANDO FL DISTRIBUTION CENTER
March 24, 2024, 10:32 am
In Transit to Next Facility
March 23, 2024
Departed USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
March 22, 2024, 8:51 pm
Arrived at USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
March 22, 2024, 8:06 pm

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