NCG080958_Renewal COC Request_20190107 1:49:24 PM

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NORTH CAFOLINA
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Permit COC
NCG080958
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NOG030000) M-ST BEGIN WTTH CAFTTAL "NCG'
Name of Person
Eric Kipp
Obtaining COC*
First and LastNarra
Phone Number* 8285452570
Email * Eric. [e-mail]
The COC will be e-rrailed to this contact.
Additional Email Eric. [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
NCG080000
Permit No.
COC No.
NCG080958
Permittee
Blue Ridge Southern Railroad
Facility Name
Canton Yard Facility
Address
2 Depot St
City
Canton
County
Haywood
Waterbody
PIGEON RIVER (Waterville Lake below
elevation 2258)
Classification
C
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 *
stG CA rl�w

Date * 01 /07/2019