NCG120068_Renewal COC Request_20181120 9:41:09 AM

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NORTH CAFOLINA
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Permit COC
NCG120068
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Joe Hack
Obtaining COC*
First and LastNarra
Phone Number* 9803143864
Email * [e-mail]
The COC will be e-rrailed 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 NCG120000
Permit No.
COC No.
NCG120068
Permittee
Mecklenburg County Solid Waste
Facility Name
Mecklenburg Co -Highway 521 Landfill
Address
17131 Lancaster Hwy
City
Charlotte
County
Mecklenburg
Waterbody
Sixmile Creek
Classification
C
River Basin
Catawba
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