NCG080014_Renewal COC Request_20181129 4:41:32 PM

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NORTH CAFOLINA
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Permit COC
NCG080014
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 CAFTTAL "NCG'
Name of Person
Mary Kennamer
Obtaining COC*
First and LastNarre
Phone Number* 9198280577
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email [e-mail]
(Optional) Enter an additional erreil 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 NCG080000
Permit No.
COC No.
NCG080014
Permittee
Waste Industries LLC
Facility Name
Waste Industries- Garner
Address
3741 Conquest Dr
City
Garner
County
Wake
Waterbody
Big Branch
Classification
QNSW
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
Yr+Gf.4A

Date * 11 /29/2018