NCG050432_Renewal COC Request_20180709 8:03:04 AM

Environmental
Quality
Permit COC
NCG050432
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the ODC, not
Facility Name
NCG030000) MUST BEGIN WITH CARTAL "NCG'
Name of Person
Chuck Metz
Obtaining COC*
First and Last Name
Phone Number* 678-742-4654
Email * [e-mail]
The COCwill be e-mailed 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 [phone] or [e-mail].
M aste r Ge ne ral NCG050000
Permit No.
COC No.
NCG050432
Permittee
Consolidated Container Company LP
Facility Name
Consolidated Container Company - Mt. Airy
Address
1625 Sheep Farm Rd
City
Mount Airy
County
Surry
Waterbody
Ararat River
Classification
C
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 * 07/09/2018