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HomeMy WebLinkAboutNCG080169_Renewal COC Request_20181205 4:39:26 PM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG080169 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 JAMES W. WILLARD II Obtaining COC* First and LastNarre Phone Number* 704-662-8192 Email* jwA2@inencoinc.com The COCw ill be e-rrailed to this contact. Additional Email vmollo@ups.com (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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG080000 Permit No. COC No. NCG080169 Permittee United Parcel Service Inc Facility Name United Parcel Service -Shelby Address 1132 County Home Rd City Shelby County Cleveland Waterbody Little Hickory Creek Classification C River Basin Broad 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 * r%vrve' lf�t� Date * 12/05/2018