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HomeMy WebLinkAboutNCG100010_Renewal COC Request_20190222 3:20:19 PM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG100010 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 CAPITAL "NOG' Name of Person James Environmental Management, Inc. Obtaining COC* First and LastNarre Phone Number* 512-244-3631 Email * kalbert@jamesenvironmental.com The COC will be e-rrailed to this contact. Additional Email kalbert@jamesenvironmental.com (Optional) Enter an additional erreil 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. Master General NCG100000 Permit No. COC No. NCG100010 Permittee Robert's Engines Inc Facility Name Robert's Engines Incorporated Address 7148 Upper Black Creek Ch City Lucama County Wilson Waterbody Black Creek 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 * 02/22/2019