NCG100176_Renewal COC Request_20200311 2:22:07 PM

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Permit COC
NCG100176
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Rarnit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Junior Martin
Obtaining COC*
First and Last Name
Phone Number* [phone]
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].
Master General NCG100000
Permit No.
COC No. NCG100176
Permittee Martin's Auto Salvage
Facility Name Martin's Auto Salvage
Address 5810 Poole Rd
City Raleigh
County Wake
Waterbody Walnut Creek
Classification C;NSW
River Basin Neuse
RENEWAL STATUS Active
Issuance Date* 10/29/2018
Effective Date 11/01/2018
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 * r� 3

Date * 03/11 /2020