NCC213459_Certificate of Coverage_20210614

Certificate of Coverage
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG010000
NC Reference No. NCG01-2021-3459
Certificate of Coverage No. NCC213459
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations
promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water
Pollution Control Act, as amended,
David Hickman
is hereby authorized to discharge stormwater associated with CONSTRUCTION ACTIVITIES to surface waters of North
Carolina from a site located at:
David Hickman Brookberry
1562 Autumn Park CIR,1568 Autumn Park CIR,1547 Autumn Park CIR,1451 Autumn Park CIR,1574 Autumn Park
CIR,1445 Autumn Park CIR
Winston-Salem
Forsyth County
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in N.C. General Permit
No. NCG010000.
This Certificate of Coverage is affiliated with E&SC Plan Project No. 552597
This Certificate of Coverage shall become effective 6/14/2021.
This Certificate of Coverage shall remain in effect until rescinded or expired.
This Certificate of Coverage will expire on the anniversary of its effective date unless it is renewed by payment of the
annual administration and compliance fee.
for Brian Wrenn
Director, Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission