NCG200407_Renewal COC Request_20191113 9:51:38 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG200407
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
James Winegar
Obtaining COC*
First and Last Narre
Phone Number*
9199893102
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.
NCG200407
Permittee
Omnisource LLC
Facility Name
OmniSource LLC - Smithfield
Address
2233 Wal-Pat Rd
City
Smithfield
County
Johnston
Waterbody
NEUSE RIVER
Classification
WS-V;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 *
Date * 11 /13/2019