NCG080830_Renewal COC Request_20181219 9:50:05 AM

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Permit COC
NCG080830
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 CAFTTAL "NCG'
Name of Person
A&G Terminals, LLC
Obtaining COC*
First and LastNarre
Phone Number* 8283972900
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].
M aste r Ge ne ral
NCG080000
Permit No.
COC No.
NCG080830
Permittee
A & G Terminals LLC
Facility Name
A & G Terminals, LLC
Address
9500 Neuville Ave
City
Hildebran
County
Burke
Waterbody
Henry Fork and Henry Fork (source to
Morganton Water Intake)
Classification
C and WS-V;ORW
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 * 12/19/2018