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HomeMy WebLinkAboutNCG030653_Renewal COC Request_20190108 1:16:24 PM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG030653 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 Tiffanee Grumbly Obtaining COC* First and LastNarre Phone Number* 904-861-2819 Email * tiffanee.grumbly@arcadis.com 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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG030000 Permit No. COC No. NCG030653 Permittee Csx Transportation Inc Facility Name Hamlet Turnout Facility Address 113 Sheppard St City Hamlet County Richmond Waterbody Marks Creek (Boyds Lake, City Lake, Everetts Lake) Classification C River Basin Yadkin 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 * 01 /08/2019