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HomeMy WebLinkAboutNCG070147_Renewal COC Request_20180621 3:59:47 PMJI Environmental Quality Permit COC NCG070147 Number * Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not COC No. NOW30000) MUST BEGIN WITH CARTAL "NO3' Name of Person Michelle Williams Obtaining COC* First and Last Narre Phone Number* 704-489-0110 Email * michellewilliams@dellingerprecast.com The COCwill be e -n -ailed to this contact. Additional Email (Optional) Enter an additional enail address to whom to send the COC Please review the information below for accuracy before submitting. If there are inconsistencies, please contact Bethany Georgoulias at (919) 807-6372 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG070000 Permit No. COC No. NCG070147 Permittee Dellinger Precast Inc Facility Name Dellinger Precast Inc. Address 8151 Webbs Rd City Denver County Lincoln Waterbody CATAWBA RIVER (Lake Norman below elevation 760) Classification WS-IV,B;CA River Basin Catawba RENEWAL STATUS Active Issuance Date* 05/31/2018 Effective Date 06/01/2018 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 Storni Permit records. Signature * Date * 06/21/2018