NCG200506_Renewal COC Request_20191022 3:36:27 PM

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NORTH CAFOLINA
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Permit COC
NCG200506
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 "NCG'
Name of Person
James Beaver
Obtaining COC*
First and LastNarre
Phone Number* 7046164390
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email [e-mail]
(Optional) Enter an additional errail 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 [phone] or [e-mail].
M aste r Ge ne ral NCG200000
Permit No.
COC No.
NCG200506
Permittee
Jmb Recycling & Demolition LLC
Facility Name
Al Scrapyard
Address
4462 Hickory Blvd
City
Granite Falls
County
Caldwell
Waterbody
Gunpowder Creek
Classification
WS-IV;CA
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 * 10/22/2019