NCG050343_Renewal COC Request_20180821 7:04:24 PM

Environmental
Quality
Permit COC
NCG050343
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Joan Owen
Obtaining COC*
First and Last Name
Phone Number*
8286325552
Email *
[e-mail]
The OOC will be e-mailed to this contact.
Additional Email
[e-mail]
(Optional) Enter an additional email 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].
Master General
NCG050000
Permit No.
COC No.
NCG050343
Permittee
Paragon Films Inc
Facility Name
Paragon Films, Inc.
Address
255 W E Baab Indusrial Dr
City
Taylorsville
County
Alexander
Waterbody
Bull Branch
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 *
0-7~1 owl�wl
Date * 08/21/2018