NCG210384_Renewal COC Request_20180910 9:17:00 AM

Environmental
Quality
Permit COC
NCG210384
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Brian Dyson
Obtaining COC*
First and Last Name
Phone Number*
336-492-5565
Email *
[e-mail]
The OOCw ill 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
NCG210000
Permit No.
COC No.
NCG210384
Permittee
Industrial Recycling Services
Facility Name
Industrial Recycling Services
Address
2815 Woodtech Dr
City
Newton
County
Catawba
Waterbody
South Fork Catawba River
Classification
WS -V
River Basin
Catawba
RENEWAL STATUS
Active
Issuance Date*
07/31/2018
Effective Date
08/01/2018
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 *
ff'ta
Date * 09/10/2018