WQ0035579_More Information (Requested)_20190523

ROY COOPER 4W.,,,� > z�a
Governor
e.
MICHAEL S.REGAN ,`, I- , `, .>a
Secretary '° "
LINDA CULPEPPER NORTH CAROLINA
Director Environmental Quality May 23,2019
Lynn Davis
Town of Belhaven
PO Box 220
Belhaven, NC 27810
Subject: Engineering Certification Requested
Town of Belhaven
Dear Permittee:
Based on a review of our records, it appears that the Division of Water Resources (Division) has not yet
received a final engineering certification in accordance with 15A NCAC 02T.0116,as well as the standard
conditions,for the following Wastewater Collection System Extension Permit(s):
Permit No. Issue Date Facility County
e;,_ (WQ0035579 02/08/12 Gary Gibbs Tara Gibbs LPSS (Lot B) Beaufort
WQ0035683 02/08/12 Gary Gibbs Tara Gibbs LPSS(Lot B) Beaufort
lk WQ0035799 03/01/12 Wynn's Gut Dock�aoge Sewer y t Beaufort ,,
, y ) 1 `o
If the permitted facilities have been constructed and are in operation,a complete and final
engineering certification must be submitted as soon as possible in accordance with 15A NCAC
02T.0116. Please note that if any portion of the facility has been constructed and is in operation, a
certification must be provided.A complete certification is one that includes a copy of the construction
record drawings (plan and profile views of all sewer lines), pump station design calculations(if
applicable), and the certification form as provided with the original permit. Please note that the Division
may not acknowledge the receipt of certifications, however,the status can be viewed at any time using
our online Sewer Extension Permit Tracker located on the PERCS Unit website.
if the permitted facilities have not yet been constructed but shall be in the future or are currently
under construction but are not yet in operation,or if the permittee desires to rescind the permit(s),
please complete and return the attached form. Should a permit rescission be requested, a letter from
the Division confirming the rescission shall be sent to the applicant.
Please provide your response within 30 days from the date of this letter.
Please be advised that failure to certify a non-discharge sewer extension permit appropriately in
accordance with the provisions of 15A NCAC 02T.0116 may result in enforcement action. Operating a
non-discharge system without a valid Wastewater Collection Permit may subject the responsible party
to a civil penalty of up to$10,000 per day.
D E'''
�s North Carolina Department of Environmental Quality I Division of Water Resources
NORN COAR INA 512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617
Daw naott t at Emaaa.Taat4 Quittr 919.707.9000

Sewer Extension Permit Status Update •
Permit No.: tiOC%� s3'7 ' Permittee: ,f/ or d,Yf
Project Name: '' ) 1 v'bk5 T nig, LPsS (L 13) Bo tp-e 1--
B
For multiple permits with the same status,please attach a supplementary page indicating all permit numbers and project
names of the permits being addressed by this form.
Please complete the applicable remaining portion of this form and return to the Division at:
NCDEQ/DWR
WQPS—PERCS UNIT
By U.S. Postal Service: By Courier/Special Delivery: By Email:
1617 Mail Service Center 512 N.Salisbury St.Suite 925 Nyle Hothem qqps/
Raleigh, NC 27699-1617 Raleigh,NC 27604 Nyle.Hothem@ncdenr.6crr
**************************************************************************************************fie
Permit Shall Remain Open
We certify that the subject perrit(s)has not yet been constructed but shall be constructed in the future in conformity with
the approved project plans,specifications,and supporting documents
OR that this project is currently under construction but is not yet in operation.
We understand that the appropriate certification documents must be forwarded to the Division prior to operation.
Please maintain the subject permit(s)in active status.
Name&Title(print):
Signature: Date:
Comments:
***************************************************************************************************
Permit Rescission Request
We request that the subject permit(s) be rescinded and certify that the permitted sewer(s) have not been and shall not be
constructed nor made operational.We understand that,in the future,should we wish to operate a non-discharge sewer
system,we shall apply for and receive a new Wastewater Collection System Permit.
Name&Title(Print): L\i{lrrl Davis TO uu rl M c na Gam"
8 Signature: i _J Date: 5 ` — ( 9
Comments:
Contact Information Updates:
To update your contact information, including mailing address,please list that information below:
Updated Contact Person:
Updated Mailing Address:
Updated Email: