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HomeMy WebLinkAboutNCG190052_Renewal COC Request_20201103 10:37:41 AMAction History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 11/3/2020 10:37:41 AM (COC Request Submission) NORTH C W Q-rA EnHmnmertm! dafny Permit COC NCG190052 Number * Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the OOC, not NCG030000) M-ST BEGIN WTTH CARTAL "NCG' Name of Person James Cox Obtaining COC* First and Last Name Phone Number* 2527282690 Email * dcox@jarrettbay.com The COC w ill be e-nailed to this contact. Additional Email (Optional) Enter an additional enailaddress towhom tosend the OOC Did you check the permit COC file in our repository to ensure this COC was not already available from a previous request? If it is, please obtain it from there instead of this form. rJ Yes, this COC was not already there. Please review the information below for accuracy before submitting. If there are inconsistencies, please contact Bethany Georgoulias at (919) 707-3641 or bethany.georgoulias@ncdenr.gov. Master General NCG190000 Permit No. COC No. NCG190052 Permittee Jarrett Bay Boatworks Inc Facility Name Jarrett Bay Boatworks - Beaufort Address 530 Sensation Weigh City Beaufort County Carteret Waterbody Core Creek (Intracoastal Waterway Adams Creek Canal) Classification SA;HQW River Basin White Oak RENEWAL STATUS Active Issuance Date* 10/01/2020 Effective Date 10/01/2020 Effective Date 20201001 Reformatted I 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. In addition, I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); and I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); Signature * C' fir-rP 5121" [J�x Date * 11 /03/2020