NCG200519_Renewal COC Request_20191021 4:11:21 PM

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NORTH CAFOLINA
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Permit COC
NCG200519
Number *
Enter the Certificate of Coverage (OOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Jonathan Carpenter
Obtaining COC*
First and LastNarre
Phone Number* 919-775-7951
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 NCG200000
Permit No.
COC No.
NCG200519
Permittee
Lee Iron & Metal Company Inc
Facility Name
Lee Iron & Metal Company dba T&J Motors
Address
1085 Old US 421
City
Lillington
County
Harnett
Waterbody
Indian Branch
Classification
WS-IV
River Basin
Cape Fear
RENEWAL STATUS
Active
Issuance Date*
08/01/2019
Effective Date
08/01/2019
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 *
e-1z1:1 &_ ['r.' t� ,- "t
Date * 10/21 /2019