NCG080053_Renewal COC Request_20181218 8:05:14 AM

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Permit COC
NCG080053
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 CAPRAL "NCG'
Name of Person
Tracy Caminiti
Obtaining COC*
First and LastNbrra
Phone Number* 828-669-2941
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].
M aste r Ge ne ral
NCG080000
Permit No.
COC No.
NCG080053
Permittee
Ingles Markets Inc
Facility Name
Ingles Markets Incorporated -Buncombe
Address
2913 US Hwy 70
City
Black Mountain
County
Buncombe
Waterbody
Swannanoa River
Classification
C
River Basin
French 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 * 12/18/2018