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HomeMy WebLinkAboutNCG080762_Renewal COC Request_20181213 1:19:04 PM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG080762 Number * Enter the Certificate of Coverage (OOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not NCG030000) M-ST BEGIN WTTH CAPITAL "NCG' Name of Person Su Son Obtaining COC* First and Last Narre Phone Number* 252-301-0508 Email * sson@gwrr.com The COC will be e-rrailed to this contact. Additional Email (Optional) Enter an additional email address to whom to send the OOC Please review the information below for accuracy before submitting. If there are inconsistencies, please contact Bethany Georgoulias at (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG080000 Permit No. COC No. NCG080762 Permittee North Carolina and Virginia Railroad Facility Name North Carolina and Virginia Railroad Address 214 N Railroad St City Ahoskie County Hertford Waterbody Whiteoak Swamp Classification QNSW River Basin Chowan 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 * 12/13/2018