NCG100081_Renewal COC Request_20190206 11:41:48 AM

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NORTH CAFOLINA
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Permit COC
NCGl00081
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 CAFTTAL "NCG'
Name of Person
Norma Harris
Obtaining COC*
First and LastNarra
Phone Number* 2526381750
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].
Master General
NCGl00000
Permit No.
COC No.
NCG100081
Permittee
Bud Harris Auto Sales & Parts
Facility Name
Bud Harris Auto Sales & Parts
Address
5200 Hwy 70 E
City
New Bern
County
Craven
Waterbody
Brice Creek
Classification
C;Sw,NSW
River Basin
Neuse
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 * 02/06/2019