NCG200468_Renewal COC Request_20191119 4:34:44 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
Number*
Name of Person
Obtaining COC*
Phone Number*
NCG200468
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., NOG030222 is the OOC, not
N00030000) M-ST BEGIN WTTH CARTAL "NCG'
John Horton
First and Last Nacre
910-763-8268
Email * [e-mail]
The COC w ill be e-nailed to this contact.
Additional Email [e-mail]
(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.
NCG200468
Permittee
Horton Iron & Metal Company
Facility Name
Horton Iron & Metal Company - Hwy 421 N
Address
2216 Hwy 421 N
City
Wilmington
County
New Hanover
Waterbody
Northeast Cape Fear River
Classification
SC;Sw
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 *
O'Afrl '%'Y!�°�4lyrl

Date * 11 /19/2019