NC0069370_NOV Unpaid Fees_20190510

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May 10, 2019
CERTIFIED MAIL ITEM 7030 0640 0007 9833 6971 -RETURN RECEIPT REQUESTED
Mr. Moose Penfold
Emeritus Corp DBA Pine Park
2601 Chimney Rock Rd
Hendersonvlle, NC 28792-8792
Subject: NOTICE OF VIOLATION
Unpaid annual fees
NPDES Permit NC0069370
Pine Park Retirement Inn
Henderson County
Dear Mr. Moose Penfold:
An audit of NPDES Permit records has determined that you are in violation of the subject permit.
The annual fee invoices listed below have not been paid:
➢ 2018PR006442
This is in violation of Part II B. (14) of your NPDES permit, as well as 15A NCAC 2H.0105 (b) (2).
You will be considered noncompliant with NC0069370 until all annual fees are paid.
To prevent the assessment of civil penalties, please submit the unpaid fees as directed on the
enclosed invoices no later than June 14, 2019. Please note and correct [if necessary] the contact
information on the unpaid invoice[s], so that future invoices are correctly delivered.
We appreciate your assistance in this matter. If you have any questions about this letter, please
contact Emily DelDuco at 919-707-9125, or via email [[e-mail]].
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Linda Culpepper, Di' c or
Division of Water Resources
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NPDES file
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North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-707-8600

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY III I III II III II II 1111 11111111
INVOICE * 2 0 1 8 P R 0 0 6 4 4 2 *
Annual Permit Fee Overdue
This annual fee is required by the North Carolina Administrative Code It covers the administrative costs associated with
your permit It is required of any person holding a permit for any time during the annual fee period, regardless of the facility's
operating status Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid
permit is a violation and is subject to a$10,000 per day fine. If the permit is revoked and you later decide a permit is
needed,you must reapply,with the understanding the permit request may be denied due to changes in environmental,
regulatory, or modeling conditions
Invoice Number: 2018PR006442 Annual Fee Period: 2018-08-01 to 2019-07-31
Permit Number: NC0069370 Invoice Date: 07/06/2018
Henderson County
Pine Park Retirement Inn Due Date: 08/05/2018
Moose Penfold Annual Fee: $860.00
Emeritus Corp DBA Pine Park
2601 Chimney Rock Rd
Hendersonvlle, NC 28792
Notes'
1 You may pay either by mail with check/money order OR by electronic payment(eCheck or Credit Card)
2 If payment is by check/money order,please remit payment to.
NCDEQ-Division of Water Resources
Attn: Animal/Discharge/Non-Discharge Billing
1617 Mail Service Center
Raleigh,NC 27699-1617
3 If payment is electronic,please see https://deq.nc.qov/epavments/wq to pay electronically. Payments by eCheck will debit your
checking account Credit card transactions will incur a convenience fee
4 Please include your Permit Number and Invoice Number on all correspondence.
5 A$25 00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6 Non-Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you have any questions regarding this invoice,please contact the Annual Administering and Compliance Fee
Coordinator at 919-707-3698
(Return This Portion With Check)
ILl liii 11111 l 111111111 III
* 2 0 1 8 P R 0 0 6 4 4 2 *
ANNUAL PERMIT INVOICE
Overdue
Invoice Number: 2018PR006442 Annual Fee Period: 2018-08-01 to 2019-07-31
Permit Number: NC0069370
Henderson County Invoice Date: 7/6/2018
Pine Park Retirement Inn Due Date: 8/5/2018
Annual Fee: $860.00
Moose Penfold
Emeritus Corp DBA Pine Park
2601 Chimney Rock Rd Check Number:
Hendersonvlle, NC 28792