NCG100022_Renewal COC Request_20181126 12:45:00 PM

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NORTH CAFOLINA
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Permit COC
NCG100022
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
ADAM WOOLARD
Obtaining COC*
First and LastNarre
Phone Number* 2522234151
Email * [e-mail]
The COC will be e-rrailed 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 NCG100000
Permit No.
COC No.
NCG100022
Permittee
J Copper Inc
Facility Name
Atlantic Auto Parts & Salvage
Address
5891 Hwy 70
City
Newport
County
Carteret
Waterbody
Hull Swamp
Classification
C
River Basin
White Oak
RENEWAL STATUS
Active
Issuance Date *
10/29/2018
Effective Date
11/01/2018
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 * 11 /26/2018