NCG110029_Renewal COC Request_20180627 8:26:18 AM

JI
Environmental
Quality
Permit COC
NCG110029
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Town of Williamston
Obtaining COC*
First and Last Name
Phone Number*
2526610770
Email *
[e-mail]
The OOC will be e-mailed to this contact.
Additional Email
[e-mail]
(Optional) Enter an additional email address to whom to send the COC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
Master General
NCG110000
Permit No.
COC No.
NCG110029
Permittee
Town of Williamston
Facility Name
Williamston WWTP
Address
1801 Willow Dr
City
Williamston
County
Martin
Waterbody
ROANOKE RIVER
Classification
C
River Basin
Roanoke
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
1 hereby request a copy of the Certificate of Coverage (COC) entered above. I understand that the COC e-mailed as a
result of this request will serve as the Permittee's record of renewed coverage under the General Permit, and that this
record must be maintained with the Permittee's NPDES Stormwater Permit records.
Signature *
W, 14 Ffi d
Date * 06/27/2018