NCG110073_Renewal COC Request_20180625 9:10:15 AM

JI
Environmental
Quality
Permit COC
NCG110073
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
Steven Styers
Obtaining COC*
First and Last Name
Phone Number* 9103326578
Email * [e-mail]
The OOC will be e-mailed to this contact.
Additional Email (Optional) Enter an additional eneil 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.
NCG110073
Permittee
Cape Fear Public Utility Authority
Facility Name
Wilmington Southside WWTP
Address
3436 River Rd
City
Wilmington
County
New Hanover
Waterbody
CAPE FEAR RIVER
Classification
SC
River Basin
Cape Fear
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 *
dna &� etd
Date * 06/25/2018