WQ0033191_Sewer Extension Permit Status Update_20190906

Request for Engineering Certification Date of Letter: September 6,2019
Sewer Extension Permit Status Update
Please complete the applicable portion of this form for each permit and return to the Division by the delivery method below and
within 30 days of the date of this letter:
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
Raleigh, NC 27699-1617 Raleigh, NC 27604 [e-mail]
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Permit No.: Permittee:
Project Name:
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Project Status (Check appropriate box to indicate Permittee's response and complete &sign below)
❑ Permit to Remain Open: The Permittee certifies that the pet mined project has not been constructed but shall be constructed in
the future in conformity with the approved Permit,project plans,specifications,and supporting documents.The Permittee
understands that the appropriate certification documents will need to be forwarded to the Division prior to operation. Subject
permit shall be maintained in Active status.
❑ The Permitted project has been constructed and the required Engineer's Certification and supporting documents will be
submitted to the Division with this form. Permittee understands that failure to submit required certification documents for an
active,in-service system may result in enforcement action.
❑ Request Extension: Permittee requests extension to reply to this letter not to exceed 60 days of the date of this� letter.
Name&Title(print): RECEIVED
Signature: Date: SEP 2 7 2019
Comments: t4CDEQIDWR/NPDES
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Permit Rescission Request
The Permittee requests that the subject permit be rescinded and certifies that the permitted sewer system has not been and shall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)&341,rt^,.«, ( t C.d'1 Ci Lo-ne,>
Signature: U 2.P,y, _ J n 00 - 0A-r-a _ Date: 9 - - I ?
Comments: aptc�e.L 1 , a
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Contact Information Updates
Updated Contact Person: '3
Updated Mailing Address: 5
Updated Email:

w STATf •
ROY COOPER r
Governor 5" ,
MICHAEL S.REGAN ny
Secretary ` 'tm^"^
LINDA CULPEPPER NORTH CAROLINA
Director Environmental Quality
September 6, 2019
William Harold Bland
William Harold Bland
PO Box 1445
Shallotte, NC 28459
Subject: Engineering Certification Requested
William Harold Bland
Brunswick County
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 of the permit,for the following Wastewater Collection System Extension Permit(s):
• Permit No. WQ0033191:Triangle Express C-Store Private Pump Station issued on 7/25/2008
If the permitted facility has been constructed and is 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.
Please provide your response for each permit listed above within 30 days of the date of this letter.
If you have previously received a letter from the Division requesting an Engineering Certification for
other permits issued during the period of 2010 through 2015, and have not yet responded, please
submit the required information at this time.
It should be noted 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.
Note:This current letter references permits issued by the Division, generally from 2007 through 2009,
that remain open without the Final Engineer's Certifications on file. Additional certification request
DE�.�- North Carolina Department of Environmental Quality I Division of Water Resources
`'�J/q 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh,North Carolina 27699-1617
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letters are forthcoming that will address older permits dating back to initial issuance dates in 2002.
Should a review of your files indicate permits older than 2007 that you wish to rescind, please proceed
with requesting rescission at this time.
If you need additional information concerning this matter, please contact Nyle Hothem via e-mail at
[e-mail].
Sincerely,
elf6r
Christyn L. Fertenbaugh, P.E.
Environmental Engineer
Pretreatment, Emergency Response, and Collection Systems Unit
Division of Water Resources
cc: Wilmington Regional Office,Water Quality Section Regional Operations [electronic]
Water Resources Central Files:WQ0033191
PERCS [electronic copy]/232