NCG550525_owner name change_20240514

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Joshua G. Robertson and Brooke C. Robertson
P.O. Box 1018
Lewisville, NC 27023-1018
Dear Permittee:
NORTH CAROLINA
Environmental Quality
May 14, 2024
Subject: General Permit NCG550000
Certificate of Coverage (CoC) NCG550525
1485 Double Creek Drive
Forsyth County
The Division has received and approved your request to transfer coverage under the subject General
Permit. Accordingly, the Division hereby issues you a revised version of NCG550525, along with a copy of
NCG550000. Discard any earlier versions of the permit and use this version until further notice. This CoC
is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of
Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007 for
as subsequently amended].
PLEASE NOTE: Your facility discharges to a class C waterbody. Therefore, you will use the limits
and monitoring frequencies found in Part I, section C. (1.) of NCG550000.
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
This CoC is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the CoC. Contact the Winston-Salem Regional Office
prior to any -We or transfer of the Permitted facility. Regional Office staff will assist you in
documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit, please contact Derek Denard of the NPDES staff [e-mail]].
Sincerely,
C�r
Douglas Dowden
Industrial NPDES Permitting Supervisor
Division of Water Resources
cc: NPDES .file
D North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbuy Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-161 t
NORTH CAROLAJA
�� 919.707.9000

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550525
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Joshua G. Robertson and Brooke C. Robertson
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
1485 Double Creek Drive
Lewisville
Forsyth County
to receiving waters designated as Double Creek, currently a class C stream in subbasin 03-07-02
of the Yadkin -Pee Dee River Basin in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, and III hereof.
This certificate of coverage takes effect 5/14/2024.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day 5/14/2024
Industrial NPDES Permitting Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission