HomeMy WebLinkAboutNCG080607_Renewal COC Request_20181213 12:33:17 PM'rl n
NORTH CAFOLINA
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Permit COC
NCG080607
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
Sam Ingram
Obtaining COC*
First and LastNarre
Phone Number* 704-391-4327
Email * samuel.c.ingram2.mil@mail.mil
The COC will be e-rrailed to this contact.
Additional Email hanson.j.pedersen.mil@mail.mil
(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.
NCG080607
Permittee
NC Air National Guard
Facility Name
NC Air National Guard
Address
4930 Minuteman Way
City
Charlotte
County
Mecklenburg
Waterbody
Taggart Creek (Taggard Creek)
Classification
C
River Basin
Catawba
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 * 12/13/2018