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HomeMy WebLinkAboutNCG080669_Renewal COC Request_20190214 9:05:44 AM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG080669 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 Dusty Wentz Obtaining COC* First and LastNarra Phone Number* 828/695/4210 Email * dwentz@newtonnc.gov The GOCwill be e-rrailed to this contact. Additional Email (Optional) Enter an additional errail 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 NCG080000 Permit No. COC No. NCG080669 Permittee City of Newton Facility Name Newton City - Public Works Complex Address 201 W 4th St City Newton County Catawba Waterbody Hildebran Creek (Anthony Creek) Classification C River Basin Catawba 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 * wmt)' Date * 02/14/2019