NCG120090_Renewal COC Request_20181129 1:58:56 PM

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NORTH CAFOLINA
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Permit COC
NCG120090
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
Schuyler Snowdon
Obtaining COC*
First and LastNarre
Phone Number* 910-253-2418
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (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.
NCG120090
Permittee
Brunswick County
Facility Name
Brunswick County Landfill Facility
Address
172 Landfill Rd Ne
City
Bolivia
County
Brunswick
Waterbody
Beaverdam Swamp
Classification
C;Sw
River Basin
Lumber
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 /29/2018