NCG130046_Renewal COC Request_20180618 11:53:00 AM

JI
Environmental
Quality
Permit COC
NCG130046
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
Facility Name
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Mike Gurley
Obtaining COC*
First and Last Name
Phone Number* 704-400-6557
Email * [e-mail]
The COCwill be e-mailed to this contact.
Additional Email (Optional) Enter an additional enail 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 NCG130000
Permit No.
COC No.
NCG130046
Permittee
Republic Services Inc Concord
Facility Name
Charlotte Recycling Facility
Address
1007 Amble Dr
City
Charlotte
County
Mecklenburg
Waterbody
Little Sugar Creek
Classification
C
River Basin
Catawba
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
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 *
A,
Date * 06/18/2018