NCG100180_Renewal COC Request_20191217 12:35:15 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG100180
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the OOC, not
N00030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Danny Strickland
Obtaining COC*
First and Last Name
Phone Number* 9104363820
Email * [e-mail]
The COC w ill be e-nailed to this contact.
Additional Email [e-mail]
(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].
Master General NCG100000
Permit No.
COC No.
NCG100180
Permittee
Spring Lake Auto Center
Facility Name
Spring Lake Auto Center
Address
1209 Lillington Hwy
City
Spring Lake
County
Cumberland
Waterbody
Little River (Lower Little River)
Classification
C
River Basin
Cape Fear
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 *

12/17/2019