NCG070196_Renewal COC Request_20190306 3:17:19 PM

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NORTH CAFOLINA
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Permit COC
NCG070196
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
Byron Boyd
Obtaining COC*
First and LastNarre
Phone Number* [phone]
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 NCG070000
Permit No.
COC No.
NCG070196
Permittee
Table Rock Quarries Inc
Facility Name
Table Rock Quarries, Inc.
Address
938 Hwy 70 W
City
Marion
County
McDowell
Waterbody
CATAWBA RIVER
Classification
C
River Basin
Catawba
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 *
cam. y�ars< �c�
Date * 03/06/2019