NCG200480_Renewal COC Request_20191104 9:22:19 AM

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NORTH CAFOLINA
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Permit COC
NCG200480
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
Collossie Byrd
Obtaining COC*
First and LastNarra
Phone Number* 2526780472
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].
M aste r Ge ne ral
NCG200000
Permit No.
COC No.
NCG200480
Pe rmitte e
Facility Name
Byrds Wrecker Service & Salvage Sales
Address
108 Pete Burrows Rd
City
Macon
County
Warren
Waterbody
Walkers Creek
Classification
QNSW
River Basin
Tar -Pamlico
RENEWAL STATUS
Active
issuance Date*
08/01/2019
Effective Date
08/01/2019
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 * 11 /04/2019