NCG110151_Renewal COC Request_20180629 8:58:57 AM

JI
Environmental
Quality
Permit COC
NCG110151
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Brian Blanton
Obtaining COC*
First and Last Name
Phone Number*
9107557921
Email *
[e-mail]
The OOCw ill 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.
NCG110151
Permittee
Brunswick County
Facility Name
West Brunswick Regional WRF
Address
235 Grey Water Rd
City
Supply
County
Brunswick
Waterbody
Lockwoods Folly River and Royal Oak
Swamp
Classification
SC;HQW and C;Sw
River Basin
Lumber
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 Storni Permit records.
Signature *
of rflaw

Date * 06/29/2018