NCG080406_Renewal COC Request_20190320 10:43:53 AM

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NORTH CAFOLINA
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Permit COC
NCG080406
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 CAPITAL "NCG'
Name of Person
Dan Moore
Obtaining COC*
First and LastNarre
Phone Number* 336-253-0091
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional errail address to whom to send the GOC
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.
NCG080406
Permittee
Waste Management of Carolinas Inc
Facility Name
Gastonia Hauling
Address
2712 Lowell -Gastonia Rd
City
Gastonia
County
Gaston
Waterbody
South Fork Catawba River
Classification
WS-V
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 *
01?1V 4watlll
Date * 03/20/2019