NCG080107_Renewal COC Request_20181120 7:50:07 AM

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NORTH CAFOLINA
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Permit COC
NCG080107
Number *
Enter the Certificate of Coverage (OOC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
COC No.
NCG030000) M -ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Chelsea Seagle
Obtaining COC*
First and Last Nara
Phone Number* 734-757-1657
Email * Chelsea.Seagle@>po.com
The COC will be e -nailed to this contact.
Additional Email (Optional) Enter an additional email address to whom to send the CDC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
M aste r Ge ne ral
NCG080000
Permit No.
COC No.
NCG080107
Permittee
Con -Way Freight Inc
Facility Name
Con -Way Freight -NIL
Address
2704 Horace Watson Rd
City
Wilson
County
Wilson
Waterbody
Contentnea Creek
Classification
WS-IV;NSW
River Basin
Neuse
RENEWAL STATUS
Active
Issuance Date*
10/29/2018
Effective Date
11/01/2018
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 * 11/20/2018