NCG100076_Renewal COC Request_20181126 12:17:10 PM

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Permit COC
NCGl00076
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 CAFTTAL "NCG'
Name of Person
Lisa Frye
Obtaining COC*
First and LastNarra
Phone Number* 704-597-1085
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 CDC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
Master General
NCGl00000
Permit No.
COC No.
NCG100076
Permittee
DBA S&R Auto & Truck Salvage
Facility Name
DBA/S&R Auto & Truck Salvage
Address
1420 W Craighead Rd
City
Charlotte
County
Mecklenburg
Waterbody
Little Sugar Creek
Classification
C
River Basin
Catawba
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 * 11 /26/2018