NCG110116_Renewal COC Request_20180622 2:12:37 PM

Envirnnmun tat
Quality
Permit COC
NCG110116
Number *
Enter the Certificate of Coverage (COC) number, not the General F ernit nunber (e.g., N0G030222 is the OCC, not
NOG030000) MBT BEGIN WTTH CAPRAL "NO3'
Name of Person
Paul Ray
Obtaining COC*
First and Last Nbrre
Phone Number*
919-677-0850
Email*
[e-mail]
The COCwill be e-mailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the OOC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
Master General
NCG110000
Permit No.
COC No.
NCG110116
Permittee
Town of Cary
Facility Name
North Cary WRF
Address
1900 Old Reedy Creek Rd
City
Cary
County
Wake
Waterbody
Crabtree Creek (Crabtree Lake)
Classification
B;NSW
River Basin
Neuse
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
Date * 06/22/2018