WQ0024752_Rescission Request Form_20190320

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
Division of Water Resources NON -DISCHARGE PERINTIT RESCISSION REQUEST FORM
March 20, 2019
To: RRO-WQROS: Rick Bolich
From: Nathaniel D. Thornburg, Water Quality Permitting Section - Non -Discharge Branch
Permit Number: WQ0024752 Permit Type: Single -Family Residence Wastewater Irrigation
Permtttne: Ryan and India Bayley Date Rescission Requested: March 18, 2019
Facility Name: Parcel No. 9797216528 Sparrow Run Ln. SFR
Date of Last Inspection: January 8, 2019
Comments: Facility has not been built, and the new owner (Ryan and India Bayley - who is not the Pennittee) does not
want the permit. I am including Mr. Bayley's email requesting rescission and noting; that he understands that he will have
to reapply for a permit under the new regulations if he desires to construct.
Please complete this form and return to the Central Office within 30 days of receipt.
Site visit performed.
/F/ /I
Comments:
Permit rescission approved.
WQROS Reviewer:
❑ Permit rescission denied.
Date: Vz z/�
FORM: WQROSNDPRR 08-17 Page 1 of 1