NCG200362_Renewal COC Request_20191113 9:46:29 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG200362
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the ODC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
James Winegar
Obtaining COC*
First and Last Narre
Phone Number*
9199893102
Email *
[e-mail]
The COC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the OOC
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.
NCG200362
Permittee
Omnisource LLC
Facility Name
OmniSource LLC - Raeford
Address
303 S Magnolia St
City
Raeford
County
Hoke
Waterbody
Pedler Branch
Classification
C
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 *
Date * 11 /13/2019