NCG110115_Renewal COC Request_20180713 9:32:56 AM

Environmental
Quality
Permit COC
NCG110115
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
Terry Hackett
Obtaining COC*
First and Last Narre
Phone Number*
919-296-9621
Email *
[e-mail]
The COCwill 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.
NCG110115
Permittee
Town of Hillsborough
Facility Name
Hillsborough WWTP
Address
355 Elizabeth Brady Rd
City
Hillsborough
County
Orange
Waterbody
Eno River
Classification
WS-V;NSW
River Basin
Neuse
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 * 07/13/2018