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HomeMy WebLinkAboutNCG030254_Renewal COC Request_20190103 2:40:13 PM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG030254 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 CAFTTAL "NCG' Name of Person Arlen Padgett Obtaining COC* First and LastNarre Phone Number* 7049215295 Email * arlen.padgett@spgprints.com 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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG030000 Permit No. COC No. NCG030254 Permittee Spgprints America Inc Facility Name Stork Prints America, Inc. Address 3201 Rotary Dr City Charlotte County Mecklenburg Waterbody Irwin Creek Classification C 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 * a Date * 01 /03/2019