NCG200348_Renewal COC Request_20191024 11:29:50 AM

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NORTH CAFOLINA
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Permit COC
NCG200348
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
Walter Daniels
Obtaining COC*
First and LastNarre
Phone Number* 919-734-7411
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].
M aste r Ge ne ral NCG200000
Permit No.
COC No.
NCG200348
Permittee
NC Salvage Co Inc
Facility Name
NC Salvage Co Incorporated
Address
2058 Hwy 117 S
City
Goldsboro
County
Wayne
Waterbody
NEUSE RIVER
Classification
WS-IV;NSW
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 * I.IA/
Lri-JU iFL,6

Date * 10/24/2019