NCG050374_Renewal COC Request_20180621 5:57:42 PM

JI
Environmental
Quality
Permit COC
NCG050374
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
David Himebaugh
Obtaining COC*
First and Last Name
Phone Number* 828-632-8883
Email * [e-mail]
The OOC will be e-mailed to this contact.
Additional Email (Optional) Enter an additional eneil 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 [phone] or [e-mail].
M aste r Ge ne ral
NCG050000
Permit No.
COC No.
NCG050374
Permittee
Piedmont Composites and Tooling LLC
Facility Name
Piedmont Composites and Tooling, LLC
Address
33 Lewittes Rd
City
Taylorsville
County
Alexander
Waterbody
Greasy Creek
Classification
WS-II;HQW
River Basin
Yadkin
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 Stormwater Permit records.
Signature
Date * 06/21/2018