NCG100097_Renewal COC Request_20181126 10:08:29 AM

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Permit COC
NCGl00097
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 "NOG'
Name of Person
Anita Hensley
Obtaining COC*
First and LastNarre
Phone Number* 8286672239
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 NCGl00000
Permit No.
COC No.
NCG100097
Permittee
Speedy's Used Auto Parts
Facility Name
Speedy's Used Parts
Address
404 Starnes Cove Rd
City
Asheville
County
Buncombe
Waterbody
Ragsdale Creek (Lake Ashnoca)
Classification
C
River Basin
French Broad
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 /26/2018