NCG080476_Renewal COC Request_20181120 7:54:38 AM

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NORTH CAFOLINA
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Permit COC
NCG080476
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAFTTAL "NCG'
Name of Person
Chelsea Seagle
Obtaining COC*
First and LastNarra
Phone Number* 734-757-1657
Email * Chelsea.Seagle@>po.com
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional email address to whom to send the CDC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
M aste r Ge ne ral NCG080000
Permit No.
COC No.
NCG080476
Permittee
Con -Way Freight Inc
Facility Name
Con -Way Freight-NRD
Address
400 Southport Dr
City
Morrisville
County
Wake
Waterbody
Crabtree Creek
Classification
QNSW
River Basin
Neuse
RENEWAL STATUS
Active
Issuance Date*
10/29/2018
Effective Date
11/01/2018
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 * 11 /20/2018