NCG030465_Renewal COC Request_20181126 5:00:12 PM

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NORTH CAFOLINA
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Permit COC
NCG030465
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
Pam Savage
Obtaining COC*
First and LastNarre
Phone Number* 252-754-1765
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].
M aste r Ge ne ral
NCG030000
Permit No.
COC No.
NCG030465
Permittee
Asmo Greenville Of NC Inc
Facility Name
Asmo Greenville Of NC Inc.
Address
1125 Sugg Pkwy
City
Greenville
County
Pitt
Waterbody
Parker Creek
Classification
QNSW
River Basin
Tar -Pamlico
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