NCG170346_Renewal COC Request_20191101 3:03:50 PM

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Permit COC
NCG170346
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
Randy Doyle
Obtaining COC*
First and LastNarra
Phone Number* 7199631927
Email * [e-mail]
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 [phone] or [e-mail].
Master General
NCG170000
Permit No.
COC No.
NCG170346
Permittee
Parkdale America
Facility Name
Parkdale Mills Inc- Plant 15
Address
103 E Woodroe Ave
City
Belmont
County
Gaston
Waterbody
Unnamed Tributary at Belmont Abbey
College
Classification
WS-IV
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 * 11 /01 /2019