NCG030317_Renewal COC Request_20181126 12:33:10 PM

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NORTH CAFOLINA
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Permit COC
NCG030317
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 CAPITAL "NCG'
Name of Person
Dickie Caldwell
Obtaining COC*
First and LastNarre
Phone Number* 828-389-8013
Email * Richard. [e-mail]
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
NCG030000
Permit No.
COC No.
NCG030317
Permittee
Coleman Cable
Facility Name
Coleman Cable - Hayesville
Address
788 Tusquittee Rd
City
Hayesville
County
Clay
Waterbody
HIWASSEE RIVER (Chatuge Lake below
elevation 1928)
Classification
B
River Basin
Hiwassee
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 *
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Date * 11 /26/2018