NCG160233_Renewal COC Request_20191022 4:15:16 PM

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NORTH CAFOLINA
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Permit COC
NCG160233
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 CAFTTAL "NCG'
Name of Person
Gregg Bowler
Obtaining COC*
First and LastNarre
Phone Number* 919-747-6400
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email [e-mail]
(Optional) Enter an additional email 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].
Master General
NCG160000
Permit No.
COC No.
NCG160233
Permittee
Carolina Sunrock LLC
Facility Name
Carolina Sunrock - Butner Asphalt Plant
Address
100 Sunrock Dr
City
Butner
County
Granville
Waterbody
NEUSE RIVER (Falls Lake below normal pool
elevation)
Classification
WS-IV;NSW,CA
River Basin
Neuse
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 *
" Ap<w

Date * 10/22/2019