NCG130051_Renewal COC Request_20180904 11:30:41 AM

JI
Environmental
Quality
Permit COC
NCG130051
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the ODC, not
COC No.
NCG030000) MUST BEGIN WITH CARTAL "NCG'
Name of Person
John Pfleger
Obtaining COC*
First and Last Narre
Phone Number* 919-877-7523
Email * [e-mail]
The COCwill be e-mailed to this contact.
Additional Email (Optional) Enter an additional enail 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
NCG130000
Permit No.
COC No.
NCG130051
Permittee
Waste Industries LLC
Facility Name
Waste Industries LLC
Address
3909 Riverdale Rd
City
Greensboro
County
Guilford
Waterbody
South Buffalo Creek
Classification
WS-V;NSW
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 *
Date * 09/04/2018