NCG080448_Renewal COC Request_20190610 9:48:30 AM

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NORTH CAFOLINA
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Permit COC
NCG080448
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
Pat Austin
Obtaining COC*
First and LastNbrra
Phone Number* 980-214-0545
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].
M aste r Ge ne ral NCG080000
Permit No.
COC No.
NCG080448
Permittee
Waste Connections of North Carolina Inc
Facility Name
Waste Connections of Charlotte Hauling
Address
5516 Roaelles Ferry Rd
City
Charlotte
County
Mecklenburg
Waterbody
Gum Branch
Classification
WS-IV
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 *
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Date * 06/10/2019