NCG120043_Renewal COC Request_20190115 8:53:50 AM

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NORTH CAFOLINA
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Permit COC
NCG120043
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
Pamela Long
Obtaining COC*
First and LastNarre
Phone Number* 3363768902
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].
Master General NCG120000
Permit No.
COC No.
NCG120043
Permittee
Alamance County
Facility Name
Alamance Co -Solid Waste
Address
Sr 2148
City
Saxapahaw
County
Alamance
Waterbody
HAW RIVER
Classification
WS-V;NSW
River Basin
Cape Fear
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 *
C1zGalW I? r��lf

Date * 01/15/2019