WQ0022785_GC NOV 2024 PC 0542 Rvcd_20241024

Docusign Envelope ID: 96E09066-0F2C-4822-A037-9A91CF5CF8AD
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MARY PENNY KELLEY
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RICHARD E. ROGERS, jR
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Certified Mail # 7020 3160 0000 5424 3595
Return Receipt Reguested
October 18, 2024
Richal Vanhook
1701 Jimmy Ed Rd
Hurdle Mills, NC 27541
Uu.S.
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CERTIFIED
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RECEIPT
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RICHALVANHOOK
�1701 JIMMY ED RO
HURDLE MILLS, NC 27S41
WQ: NOV & INTENT TO ASSESS CIVIL PENALTY/NOVI-2024-PC-0542
W QOO22795jLATTISVILLE GROVE MISSIONARY 6AP CH W WTF/ORANG
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70203TBD000054243595 M:10121112424 L
SUBJECT; NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOVI-2024-PC-0542
Permit No. WQ0022785
Lattisville Grove Missionary Baptist Church WWTF
Orange County
Dear Permittee:
A review of the March 2024 Non -Discharge Monitoring Report (NDMR) and Non -Discharge Analysis Report
(NDAR1) for the subject facility revealed the violation(s) indicated below;
Reporting Violation(s):
Report Period Due Date
March 2024 04/30/2024
March 2024 04/30/2024
Type of Violation
Late/Missing NDMR
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 re uirements of an ermit issued pursuant to G.S.
■ 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 permits.
1. A. ;,I. a.l.lnocc A t
RICHALVANHOOK
1701 JIIV Wt to RD
HURDLE MILLS, NC 27541
WQ: NOV & INTENT TO ASSESS CIVIL PENALTYJNOVI-2024•PC-0542
W000227R5/LA"1TISVILLE GROVE MISSIONARY SAP CH 1VWTF/ORAtJG
7020316000nLr.J243595 M,1012112024 LW
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9 Article Number {Transfer from service fabeO
7020 3160 0000 5424 3595
PS Form 3811, July 2015 PSN 7530-02-000-9053
❑ Agent
B. ecerved by (Printed Name) C. Datip of G tp I Z
D. Is delivery address different from item 1? CYes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Express®
❑ AA�Jult Signature
i] Registered Mallry
II/tduIt Signature Restricted Delvery
❑ R Istered Mail Restricted
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11 Ce"ed Mail Restricted Delivery
0 Receipt for
'J Collect on Delivery
handise
J Collect on Delivery Restricted Delivery
nature GonflmratlonTM
i Insured Mail
❑ Signature Contlmiaticn
❑ Insured Mall Restricted Delivery
Restricted Delivery
Domestic Return Recelpt
quest technical assistance, or
days after receipt of this Notice. A
ed on the submitted Monitoring
ad regarding the violations. If no
enalty assessment may be
prevent further occurrences in the
this and any additional violations of
rn and/or maintenance problems,
sider applying for a Special Order by