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HomeMy WebLinkAboutNCG060030_Renewal COC Request_20181206 10:58:20 AM'rl n NORTH CAFOLINA Emlre -.1 Q-Wy Permit COC Number* Name of Person Obtaining COC* Phone Number* NCG060030 Enter the Certificate of Coverage (OOC) number, not the General Fbrmt nunber (e.g., NCGO30222 is the COC, not NCG030000) M-ST BEGIN WTTH CAPITAL "NCG' Corey Carpentier First and Last Narre 828-756-6636 Email * corey_carpentier@baxter.com The COC will be e-rrailed to this contact. Additional Email (Optional) Enter an additional errail 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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG060000 Permit No. COC No. NCG060030 Permittee Baxter Healthcare Corporation Facility Name Baxter Healthcare Corporation Address 65 Pitts Sta Rd City Marion County McDowell Waterbody North Fork Catawba River and Stillhouse Branch Classification B;Tr and C;Tr River Basin Catawba 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 * 12/06/2018