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HomeMy WebLinkAboutNCG050324_Renewal COC Request_20190321 9:06:22 AM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG050324 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 CAPITAL "NCG' Name of Person Dean Chamis Obtaining COC* First and LastNarra Phone Number* 7047301005 Email * dchamis.charlotte@gmail.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 NCG050000 Permit No. COC No. NCG050324 Permittee Blachford RP Corporation Facility Name Blachford RP Corporation Address 707 Broadview Dr City Kings Mountain County Cleveland Waterbody Crowders Creek Classification C River Basin Catawba RENEWAL STATUS Active Issuance Date* 05/31/2018 Effective Date 06/01/2018 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 * 03/21 /2019