NCG080719_Renewal COC Request_20181211 10:14:27 AM

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NORTH CAFOLINA
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Permit COC
NCG080719
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 CAPRAL "NCG'
Name of Person
Troy Estes
Obtaining COC*
First and LastNarra
Phone Number* 615-255-9300
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 CDC
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.
NCG080719
Permittee
Averitt Express Inc
Facility Name
Averitt Express Inc - Greenville Service
Center
Address
1839 Progress Rd
City
Greenville
County
Pitt
Waterbody
Parker Creek
Classification
QNSW
River Basin
Tar -Pamlico
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 * 12/11 /2018