WQ0010882_ Renewal Notification_20240627

June 27, 2024
KEVIN W. AND DARLENE SMITH
483 BLACK WILLOW DR.
APEX, NC 27523-6088
Subject: Permit No. WQ0010882
Permit Renewal Notification
483 Black Willow Dr. SFR
Single-Family Residence
Wastewater Irrigation System
Chatham County
Dear Mr. and Mrs. Smith:
Division of Water Resources' records indicate that Permit No. WQ0010882, issued April 19, 2018,
expired May 31, 2023. As the Permittee, you are responsible for renewing and maintaining this permit.
Pursuant to administrative code 15A NCAC 02T .0109, permit renewal requests shall be submitted at least
180 days prior to permit expiration.
Please complete and submit the attached Single-Family Residence Wastewater Irrigation System
Renewal application (Form: SFRWWIS-R 02-21). This form has been prefilled for your convenience.
Please complete any portions that are not filled out and double-check all information for accuracy.
Within 30 calendar days of receiving this notification, submit the completed forms to:
Email: Mail:
[e-mail] Attn: Alys Hannum
OR Non-Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Once the application is received, Raleigh Regional Office staff will conduct a site visit and inspect
the non-discharge system. Upon completion of the site visit and application review, a renewed non-
discharge permit shall be issued for a length of up to eight years. Failure to provide these forms prior to
the permit expiration date may 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 the Permittee to appropriate
enforcement actions pursuant to G.S. 143-215.6A-6C.
If you have any questions, please contact me at [phone] or [e-mail].
Sincerely,
Alys Hannum, Environmental Specialist II
Division of Water Resources
Enclosure: SFRWWIS-R 02-21
cc: Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Laserfiche File (Electronic Copy)