NCG120069_Renewal COC Request_20181205 8:40:57 AM

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NORTH CAFOLINA
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Permit COC
NCG120069
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 CAFTTAL "NCG'
Name of Person
Andrew Mulvey
Obtaining COC*
First and LastNarre
Phone Number* 910798-4453
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional errail address to whom to send the CDC
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.
NCG120069
Permittee
New Hanover County
Facility Name
New Hanover County Landfill - US Hwy 421 N
Address
5210 Hwy 421 N
City
Wilmington
County
New Hanover
Waterbody
Fishing Creek
Classification
C;Sw
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 * 12/05/2018