NCG110120_Renewal COC Request_20180615 9:01:26 AM

Environmental
Quality
Permit COC
NCG110120
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Sonja Basinger
Obtaining COC*
First and Last Name
Phone Number*
704-216-7539
Email *
[e-mail]
The OOCw ill be e-mailed to this contact.
Additional Email
[e-mail]
(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 [phone] or [e-mail].
Master General
NCG110000
Permit No.
COC No.
NCG110120
Permittee
City of Salisbury
Facility Name
City of Salisbury WWTP (Town Creek
WWTT)
Address
850 Heiligtown Rd
City
East Spencer
County
Rowan
Waterbody
Town Creek
Classification
C
River Basin
Yadkin
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
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

Date * 06/15/2018