NCG120072_Renewal COC Request_20181130 4:21:50 PM

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Permit COC
NCG120072
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Nathan McNeilly
Obtaining COC*
First and LastNarre
Phone Number* 980-484-5137
Email * [e-mail]
The COC will be e-rrailed 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].
Master General NCG120000
Permit No.
COC No.
NCG120072
Permittee
Cleveland Co
Facility Name
Cleveland County Landfill
Address
250 Fielding Rd
City
Cherryville
County
Cleveland
Waterbody
Buffalo Creek and Long Creek
Classification
WS-III
River Basin
Broad
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 /30/2018