NCG080067_Renewal COC Request_20181210 11:40:29 AM

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NORTH CAFOLINA
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Permit COC
NCG080067
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
Timothy Shephard
Obtaining COC*
First and Last Nbrra
Phone Number* 540-966-3200
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 GOC
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.
NCG080067
Permittee
Howell's Motor Freight Inc
Facility Name
Howell's Motor Freight Incorporated
Address
705 Beacon Lake Dr
City
Raleigh
County
Wake
Waterbody
Crabtree Creek
Classification
QNSW
River Basin
Neuse
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 *
Date * 12/10/2018