NCG120005_Renewal COC Request_20181129 8:33:59 AM

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NORTH CAFOLINA
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Permit COC
NCG120005
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAFTTAL "NCG'
Name of Person
Harrell Walters
Obtaining COC*
First and Last Nlarre
Phone Number* 9108653348
Email * [e-mail]
The COC will be e-rrailed 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
NCG120000
Permit No.
COC No.
NCG120005
Permittee
Robeson Co Solid Wst Mgt
Facility Name
Robeson Co Solid Waste Mgmt-St Pauls
Address
246 Landfill Rd
City
Saint Pauls
County
Robeson
Waterbody
Big Marsh Swamp (Marsh Swamp) (Lake
McNeill, Odom Pond)
Classification
C;Sw
River Basin
Lumber
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 /29/2018