NCG080900_Renewal COC Request (Not Available)_20210816 10:27:55 AM

Permit COC NCGO80900
Number * Enter the Certificate of Coverage (COC) nun ber. MIST BEGIN WITH C4RTAL "NOG'
Please review the information below for accuracy before submitting. If there are inconsistencies, please contact
[e-mail], or check the box below that says "permit information is incorrect".
Permittee * Rolling Frito-Lay Sales LP
Facility Name Boone Bin
Address 5016 Hwy 105 S
City Vilas
County Watauga
Name of Person Josh Orr
Requesting COC* First and Last Nbme
Phone Number* 5125718662
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 ODC
M aste r Ge ne ral Pe rmit NCGO80000
Issuance Date 06/30/2021
Master General Flarrrit Issuance
Effective Date 07/01/2021
Mister General Fbrmt fffective
NOTE: You can verify the COC facility information and renewal status by running this Permit Summary Report (check the
Permit Status at the top of the report). If the permit is expired, a renewal COC will not be available. This may be
because fees are owed. You can check for outstanding invoices at https://deq.nc.gov/sw-epayments.
«Before checking this box, please verifythe COC is expired with the report above. »
r- the COC is still expired, but owed fees have been paid.
r permit information is incorrect or old.
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. If a COC is not available, I request a
follow-up from Stormwater Program staff.
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

Date * 08/16/2021
Time 10:27:55 AM
If you do not receive an email with a copy of your renewal COC within a day, please contact
[e-mail] or [e-mail]