NCG200355_Renewal COC Request_20191111 9:41:03 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG200355
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the ODC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NOG'
Name of Person
ANTHONY TIPPS
Obtaining COC*
First and Last Name
Phone Number*
828-218-4600
Email *
[e-mail]
The COC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the OOC
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.
NCG200355
Permittee
Griffin Gordon Recycling LLC
Facility Name
Mountain Recycling
Address
1065 3rd Ave NW
City
Hickory
County
Catawba
Waterbody
Cripple Creek
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 /11 /2019