NCG130044_Renewal COC Request_20180621 10:04:40 AM

JI
Environmental
Quality
Permit COC
NCG130044
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Derek Bouchard
Obtaining COC*
First and Last Name
Phone Number*
3143023634
Email *
[e-mail]
The COCwill 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
NCG130000
Permit No.
COC No.
NCG130044
Permittee
Republic Services of North Carolina LLC
Facility Name
Republic Services of NC, LLC -GDS -
Conover -MRF
Address
130 Somerset Dr Ext
City
Conover
County
Catawba
Waterbody
Lyle Creek
Classification
C
River Basin
Catawba
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 Storni Permit records.
Signature

Date * 06/21/2018