Loading...
HomeMy WebLinkAboutNCG050002_Renewal COC Request_20180828 3:18:21 PMJI Environmental Quality Permit COC NCG050002 Number * Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not NCG030000) MUST BEGIN WITH CARTAL "NO3' Name of Person Anthony Chavis Obtaining COC* First and Last Name Phone Number* 910 5575929 Email * anthony.chavis@plastekgroup.com The OOC will be e-mailed to this contact. Additional Email anthony.chavis@plastekgroup.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) 807-6372 or bethany.georgoulias@ncdenr.gov. Master General NCG050000 Permit No. COC No. NCG050002 Permittee Plastek Industries Inc Facility Name Plastek Industries, Inc. Address 1015 County Home Rd City Hamlet County Richmond Waterbody Falling Creek (McDonalds Pond) Classification WS -III River Basin Yadkin 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 * 637e"re,X-nC,4.4ki1 Date * 08/28/2018