NCG030636_Renewal COC Request_20181212 2:34:41 PM

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NORTH CAFOLINA
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Permit COC
NCG030636
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
Scott Phillips
Obtaining COC*
First and LastNarra
Phone Number* 8287076443
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email [e-mail]
(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].
M aste r Ge ne ral NCG030000
Permit No.
COC No.
NCG030636
Permittee
System Logistics Corporation
Facility Name
System Logistics Corporation
Address
115 Vista Blvd
City
Arden
County
Buncombe
Waterbody
Avery Creek (Dubose Lake)
Classification
B
River Basin
French 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 *
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Date * 12/12/2018