NCG030005_Renewal COC Request_20181126 2:12:41 PM

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NORTH CAFOLINA
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Permit COC
NCG030005
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Dwight Alligood
Obtaining COC*
First and LastNarra
Phone Number* 252-362-4060
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional email address to whom to send the CDC
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 NCG030000
Permit No.
COC No.
NCG030005
Permittee
Clarcor Engine Mobile Solutions LLC
Facility Name
Clarcor Engine Mobile Solutions LLC
Address
230 Clarks Neck Rd
City
Washington
County
Beaufort
Waterbody
Tranters Creek
Classification
C;Sw,NSW
River Basin
Tar -Pamlico
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