NCG120092_Renewal COC Request_20190424 4:41:40 PM

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NORTH CAFOLINA
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Permit COC
NCG120092
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 CAFTTAL "NCG'
Name of Person
Mary Kennamer
Obtaining COC*
First and LastNarre
Phone Number* 919-828-0577
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email [e-mail]
(Optional) Enter an additional errail 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.
NCG120092
Permittee
Harnett County
Facility Name
Dunn -Erwin Landfill
Address
449 Daniels Rd
City
Dunn
County
Harnett
Waterbody
Stewart Creek
Classification
C
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 *
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Date * 04/24/2019