NCG080922_Renewal COC Request_20200512 10:37:05 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG080922
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Rarnit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Terri Allen
Obtaining COC*
First and Last Name
Phone Number*
404-904-5122
Email *
[e-mail]
The COC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the OOC
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.
NCG080922
Permittee
Norfolk Southern Railway Company
Facility Name
Charlotte Intermodal Facility
Address
5710 West Blvd
City
Charlotte
County
Mecklenburg
Waterbody
Beaverdam 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 *
It--,"Kl
Date * 05/12/2020