NCG210459_Renewal COC Request_20180831 10:44:11 AM

Environmental
Quality
Permit COC
NCG210459
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
Sulley Quinones Pellot
Obtaining COC*
First and Last Narre
Phone Number*
4074624854
Email *
[e-mail]
The COCwill 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
NCG210000
Permit No.
COC No.
NCG210459
Permittee
Damm Services Corp
Facility Name
Damm Services Group - Fayetteville Service
Center
Address
880 Technology Dr, Ste 110
City
Fayetteville
County
Cumberland
Waterbody
Rockfish Creek
Classification
C
River Basin
Cape Fear
RENEWAL STATUS
Active
Issuance Date*
07/31/2018
Effective Date
08/01/2018
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 *

Date * 08/31/2018