NCG090023_Renewal COC Request_20190102 9:46:48 AM

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NORTH CAFOLINA
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Permit COC
NCG090023
Number *
Enter the Certificate of Coverage (OOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAFTTAL "NCG'
Name of Person
Barry Sparks
Obtaining COC*
First and LastNarra
Phone Number* 7047612321
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
NCG090000
Permit No.
COC No.
NCG090023
Permittee
The Sherwin-Williams Manufacturing
Company
Facility Name
Engineered Polymer Solutions, Inc./Valspar
Coatings
Address
188 Side Track Dr
City
Statesville
County
Iredell
Waterbody
Fourth Creek
Classification
C
River Basin
Yadkin
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 * 01 /02/2019