HomeMy WebLinkAboutNCG060372_Renewal COC Request_20190107 11:07:05 AM'rl n
NORTH CAFOLINA
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Permit COC
NCG060372
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 CAFTTAL "NCG'
Name of Person
Eli Torrence
Obtaining COC*
First and LastNarre
Phone Number* 7048443531
Email * etorrence@harristeeter.com
The COC will be e-rrailed to this contact.
Additional Email etorrence@harristeeter.com
(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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov.
M aste r Ge ne ral
NCG060000
Permit No.
COC No.
NCG060372
Permittee
Harris Teeter LLC
Facility Name
Harris Teeter Distribution Center
Address
6001 Highway 74e
City
Indian Trail
County
Union
Waterbody
South Fork Crooked Creek
Classification
C
River Basin
Yadkin
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 * 01 /07/2019