NCG080960_Renewal COC Request_20191218 9:14:00 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
Number*
Name of Person
Obtaining COC*
Phone Number*
NCG080960
Enter the Certificate of Coverage (COC) nun ber, not the General Penrit nurrber (e.g., NOG030222 is the COC, not
N00030000) M-ST BEGIN VWN CARTAL "NCG'
Margaret Sembos
First and Last Nacre
8436099464
Email * [e-mail]
The COC w ill be e-nailed to this contact.
Additional Email [e-mail]
(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 [phone] or [e-mail].
M aste r Ge ne ral NCG080000
Permit No.
COC No.
NCGO80960
Permittee
Kinder Morgan Inc
Facility Name
Kinder Morgan Woodbine Street Terminal
Address
1710 Woodbine St
City
Wilmington
County
New Hanover
Waterbody
CAPE FEAR RIVER
Classification
Sc
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 *
(a,ir'w'm- L5�&"

Date * 12/18/2019