NCG100129_Renewal COC Request_20181126 1:06:26 PM

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NORTH CAFOLINA
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Permit COC
NCG100129
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
Tommy Littlerton
Obtaining COC*
First and LastNarre
Phone Number* 910-353-6998
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 NCG100000
Permit No.
COC No.
NCG100129
Permittee
Tommy Littleton
Facility Name
Eastside Auto Salvage - Jacksonville
Address
1024 Rocky Run Rd
City
Midway Park
County
Onslow
Waterbody
Mott Creek
Classification
QNSW
River Basin
White Oak
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
T" Lrclt

Date * 11 /26/2018