NCG030557_Renewal COC Request_20181128 2:46:37 PM

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NORTH CAFOLINA
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Permit COC
NCG030557
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WITH CAPRAL "NCG'
Name of Person
Tim Fernandez
Obtaining COC*
First and Last Nbrra
Phone Number* 252-293-7202
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional errail address to whom to send the GOC
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.
NCG030557
Permittee
Kidde Aerospace and Defense
Facility Name
Kidde Aerospace and Defense
Address
4200 Airport Dr Nw
City
Wilson
County
Wilson
Waterbody
Hominy Swamp
Classification
C;Sw,NSW
River Basin
Neuse
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 /28/2018