NCG110125_Renewal COC Request_20180621 1:56:43 PM

JI
Environmental
Quality
Permit COC
NCG110125
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
Facility Name
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Stephanie Scheringer
Obtaining COC*
First and Last Narre
Phone Number* 704-866-6726
Email * [e-mail]
The COCwill be e -n -ailed to this contact.
Additional Email (Optional) Enter an additional enail 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.
NCG110125
Permittee
City of Gastonia
Facility Name
Eagle Road WW -FP
Address
661 Eagle Rd
City
Belmont
County
Gaston
Waterbody
South Fork Catawba River
Classification
WS -V
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 Stormwater Permit records.
Signature *
Date * 06/21/2018