NCG110097_Renewal COC Request_20180709 10:12:34 AM

JI
Environmental
Quality
Permit COC
NCG110097
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
Facility Name
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Richard Canipe
Obtaining COC*
First and Last Name
Phone Number* 828-765-3000
Email * [e-mail]
The OOCw ill 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.
NCG110097
Permittee
Town of Spruce Pine
Facility Name
Spruce Pine WWTP
Address
909 Creed Pitman Rd
City
Spruce Pine
County
Mitchell
Waterbody
North Toe River
Classification
C;Tr
River Basin
French Broad
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 * 07/09/2018