NCG120044_Renewal COC Request_20181128 3:48:14 PM

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NORTH GAFOLINA
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Permit COC
NCG120044
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
Bobby Darden
Obtaining COC*
First and LastNarre
Phone Number* 252-633-1564
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 NCG120000
Permit No.
COC No.
NCG120044
Permittee
Coastal Reg Solid Waste Mgmt
Facility Name
Coastal Reg Solid Waste Management
Address
7400 Old Mlvy 70 W
City
New Bern
County
Craven
Waterbody
Beaverdam Branch
Classification
C;Sw,NSW
River Basin
Neuse
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 /28/2018