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HomeMy WebLinkAboutNCG160083_Renewal COC Request_20191021 10:54:28 AM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG160083 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 Richard Broughton Obtaining COC* First and LastNarre Phone Number* 8037986275 Email * richard.broughton@martinmarietta.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. Master General NCG160000 Permit No. COC No. NCG160083 Permittee Martin Marietta Materials Inc Facility Name Matthews Plant Address 1011 Sam Newell Rd City Matthews County Mecklenburg Waterbody Irvins Creek (McEwen Lake) Classification C River Basin Catawba RENEWAL STATUS Active Issuance Date* 08/01/2019 Effective Date 08/01/2019 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 * 10/21 /2019