NCG070015_Renewal COC Request_20180619 1:42:35 PM

JI
Environmental
Quality
Permit COC
NCG070015
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Jens Schoenfuss
Obtaining COC*
First and Last Narre
Phone Number* 8033854537
Email * [e-mail]
The OOCw ill 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].
M aste r Ge ne ral
NCG070000
Permit No.
COC No.
NCG070015
Permittee
Electric Glass Fiber America LLC
Facility Name
Electric Glass Fiber America LLC
Address
940 Washburn Switch Rd
City
Shelby
County
Cleveland
Waterbody
Beaverdam Creek, Brushy Creek, and
Overflow Branch
Classification
C
River Basin
Broad
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 Storni Permit records.
Signature *
Date * 06/19/2018