NCG550210_Notice of Violation (PC-2016-0550)_20161130

PAT MCCRORY
NC Governor
DONALD R.VAN DER VAART
Secretary
Water Resources S.JAY ZIMMERMAN
ENVIRONMENTAL OUALITY
Director
November 30, 2016
CERTIFIED MAIL 7013 2630 0001 8998 1956
RETURN RECEIPT REQUESTED
Mr. Jay C. Brewer
4668 Palace Avenue
Winston-Salem, NC 27101
Subject: Notice of Violation NOV-2016-PC-0550
Wastewater Disposal at
4668 Palace Avenue, Winston-Salem
Certificate of Coverage(CoC)NCG550210
Forsyth County
Dear Mr. Brewer:
An audit of annual fee payments for NPDES permittees has noted unpaid fees for the subject facility.
Payment of annual fees is required by Part II B. (12)of your NPDES permit NCG550000, as well as 15A
NCAC 2H.0105 (b)(2).
The following unpaid invoices are enclosed, totaling$100 in overdue annual fees: 2015PR007939. Payment
instructions are provided on the invoice(s). Please submit payment by January 16, 2017.
If you have questions concerning this matter,please do not hesitate to contact Meredith Wojcik at 919-807-
6479 or [e-mail].
We appreciate your assistance in this matter.
0S' ,
C(.1: 1 1
"X-
John E. Hennessy
Division of Water Resources, DEQ
cc: Winston-Salem Regional Office,DWR WQRO
NPDES General Permit Files NOV-2016-PC-0550
Teresa Revis,DWR Budget Office
State of North Carolina I Environmental Quality I Water Resources
1611 Mail service Center I Raleigh,North Carolina 27699-1611
919 707 9000

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. J A
■ Print your name and address on the reverse X C�'Addressee
so that we can return the card to you. B. Receiycd byArinted Name) C. ate of Delivery
IN1(G7
Attach this card to the back of the mailpiece, I ✓//Jl �/ /4
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to:
If YES,enter delivery address below: 0 No
I i
141Ir.Jay C. Brewer
4668 Palace Avenue
Winston-Salem, NC 27101
3. Service Type
III Certified Mail 0 Express Mail
0 Registered ❑Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
7013 2630 0001 8998 1956
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540
I J

/ r
UNITED STATES POSTALERVJC . First-Class Mail
Postage&Fees Paid
7,75''"; USPS
Permit NO G-10 •
06 DEC "1:6
• Sender'.116166- st- print your name, address, and ZIP+4 in this box •
i
c LT:1
Meredith Wojcik j .jrri
NC DEQ / DWR / NPDES 5 -
1617 Mail Service Center 'cO1
Raleigh, NC 27699-1617 g?
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