NCG070118_Renewal COC Request_20191105 3:53:47 PM

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NORTH CAFOLINA
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Permit COC
NCG070118
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
Robert Strickland
Obtaining COC*
First and LastNarre
Phone Number* 5125870116
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.
NCG070118
Permittee
Rinker Materials -Wilson Pipe
Facility Name
Rinker Materials -Wilson Pipe
Address
1600 Thorne Ave
City
Wilson
County
Wilson
Waterbody
Hominy Swamp
Classification
C;Sw,NSW
River Basin
Neuse
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 *
Date * 11 /05/2019