NCG030246_Renewal COC Request_20181130 9:32:20 AM

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NORTH CAFOLINA
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Permit COC
NCG030246
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
Steve Street
Obtaining COC*
First and LastNarre
Phone Number* 828-901-6695
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].
M aste r Ge ne ral
NCG030000
Permit No.
COC No.
NCG030246
Permittee
Corning Optical Communications LLC
Facility Name
Hickory Manufacturing and Technology
Center
Address
1164 23rd St Se
City
Hickory
County
Catawba
Waterbody
Clark Creek (Shooks Lake)
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
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Date * 11 /30/2018