NCG100164_Renewal COC Request_20181127 9:19:45 AM

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Permit COC
NCGlOO164
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
JIMMY J SCHANTZ
Obtaining COC*
First and LastNarre
Phone Number* 9102377706
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.
NCG100164
Permittee
Ed's Auto Service And Salvage
Facility Name
Ed's Auto Service And Salvage
Address
1238 Slocomb Rd
City
Linden
County
Cumberland
Waterbody
CAPE FEAR RIVER
Classification
WS-IV
River Basin
Cape Fear
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 /27/2018