HomeMy WebLinkAboutNCG200436_Renewal COC Request_20191022 9:17:49 AM'rl n
NORTH CAFOLINA
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Permit COC
NCG200436
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Kyle DeHaven
Obtaining COC*
First and LastNarre
Phone Number* 2527473446
Email * Kyle.dehaven@greenecountync.gov
The COC will be e-rrailed to this contact.
Additional Email Kyle.dehaven@greenecountync.gov
(Optional) Enter an additional email address to whom to send the COC
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 NCG200000
Permit No.
COC No.
NCG200436
Permittee
Greene County
Facility Name
Greene County Landfill
Address
105 Landfill Rd
City
Walstonburg
County
Greene
Waterbody
Sandy Run
Classification
C;Sw,NSW
River Basin
Neuse
RENEWAL STATUS
Active
Issuance Date*
08/01/2019
Effective Date
08/01/2019
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 * 10/22/2019