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HomeMy WebLinkAboutNCG140179_Renewal COC Request_20220920 3:21:31 PM� Q Permit COC Number* NCG140179 Enter the Certificate of Coverage (COC) number. MUST BEGIN WITH CAPITAL "NCG" Please review the information below for accuracy before submitting. If there are inconsistencies, please contact bethany.georgoulias@ncdenr.gov, or check the box below that says "permit information is incorrect". Permittee* Concrete Service Company Inc Facility Name Concrete Service - Lumberton Address 201 S Walnut City Lumberton County Robeson Name of Person Amy Mateo Requesting COC* First and Last Name Phone Number* 9102371791 Email* amateo@fayblock.com The COC will be e-mailed to this contact. Additional Email amateo@fayblock.com (Optional) Enter an additional email address to whom to send the COC Master General Permit NCG140000 Issuance Date 06/30/2022 Master General Permit Issuance Effective Date 07/01/2022 Master General Permit Effective 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. Please send me a copy of the renewal COC. 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 * 09/20/2022 Time 03:21:31 PM If you do not receive an email with a copy of your renewal COC within a day, please contact bethany.georgoulias@ncdenr.gov