NCG110135_Renewal COC Request_20180709 1:07:09 PM

JI
Environmental
Quality
Permit COC
NCG110135
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
Larry Wright
Obtaining COC*
First and Last Narre
Phone Number*
7042141162
Email *
[e-mail]
The OOCw ill be e -n -ailed 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.
NCG110135
Permittee
City of Cherryville
Facility Name
Cherryville WWTP
Address
736 Tot Dellinger Rd
City
Cherryville
County
Gaston
Waterbody
Indian 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 Stormwater Permit records.
Signature *
Date * 07/09/2018