NCG110107_Renewal COC Request_20180918 8:33:54 AM

Envirnnmun tat
Quality
Permit COC
NCG110107
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit nunber (e.g., NOG030222 is the OCC, not
N00030000) MJST BEGIN WTTH CARTAL "NOG'
Name of Person
Kim Tessneer
Obtaining COC*
First and Last Nbrm
Phone Number*
8284479588
Email*
[e-mail]
The COCwill be e -Trailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the OOC
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.
NCG110107
Permittee
Town of Spindale
Facility Name
Spindale WWTP
Address
Ecology St
City
Spindale
County
Rutherford
Waterbody
Hollands Creek
Classification
C
River Basin
Broad
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 *
Date * 09/18/2018