WQ0013362_Staff Report_20190613

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
'Division of Water Resources NON-DISCHARGE PERMIT RESCISSION REQUEST FORM
June 13,2019
To: RRO-WQROS: Rick Bolich/Karen Higgins
From: Nathaniel D.Thornburg, Water Quality Permitting Section-Non-Discharge Branch
Permit Number: WQ0013362 Permit Type: Single-Family Residence Wastewater Irrigation
Permittee: Rodney D. Hudson(new owner is Russell Hansen) Date Rescission Requested: June 7, 2019
Facility Name: 2765 Weaver Hill Dr. SFR Date of Last Inspection:June 27,2017
Comments: Property has changed ownership, and new owner has the constructed home connected to a subsurface system.
See email chain for more information.
Please complete this form and return to the Central Office within 30 days of receipt.
❑ Site visit performed. � Permit rescission approved. ❑ Permit rescission denied.
Comments: I^ '� 65,E -
WQROS Reviewer: � Date: /
FORM:WQROSNDPRR 08-17 Page 1 of 1

State of North Carolina
Department of Environmental Quality
DWR_ Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
'Division of Water Resources NON-DISCHARGE PERMIT RESCISSION REQUEST FORM
June 13,2019
To: RRO-WQROS: Rick Bolich/Karen Higgins
From: Nathaniel D.Thornburg, Water Quality Permitting Section-Non-Discharge Branch
Permit Number: WQ0024925 Permit Type: Single-Family Residence Wastewater Irrigation
Permittee: Deloris Gibson Date Rescission Requested: June 6,2019
Facility Name: 7624 Reams Ct. SFR Date of Last Inspection: June 27, 2017
Comments: See attached email.
Please complete this form and return to the Central Office within 30 days of receipt.
❑ Site visit performed. Permit rescission approved. ❑ Permit rescission denied.
Comments: /�� fBkSfi
WQROS Reviewer: Date:
FORM:WQROSNDPRR 08-17 Page 1 of 1