NCG110043_Renewal COC Request_20180814 1:16:05 PM

JI
Environmental
Quality
Permit COC
NCG110043
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Kenneth Stevens
Obtaining COC*
First and Last Name
Phone Number*
2529393733
Email *
[e-mail]
The COCwill be e-mailed 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.
NCG110043
Permittee
City of Kinston
Facility Name
Kinston Regional Water Reclamation Facility
Address
2101 Becton Farm Rd
City
Kinston
County
Lenoir
Waterbody
NEUSE RIVER
Classification
QNSW
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 *
Ar �. J&.41W, )4,.
Date * 08/14/2018