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HomeMy WebLinkAboutNCG160104_Renewal COC Request_20191115 12:29:34 PMNORTHCWQO rA EnHmnmertm! Qdafny Permit COC NCG160104 Number * Enter the Certificate of Coverage (COC) nun ber, not the General Pernit nurrber (e.g., N00030222 is the OOC, not NCG030000) M-ST BEGIN WTTH CARTAL "NCG' Name of Person Donald Mason Obtaining COC* First and Last Name Phone Number* 8284210448 Email* dlmason@harrisoncc.com The COC w ill be e-nailed to this contact. Additional Email dlmason@harrisoncc.com (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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. Master General NCG160000 Permit No. COC No. NCG160104 Permittee APAC Atlantic Inc Facility Name APAC Atlantic Inc -Hendersonville Address Clear Creek Rd City Hendersonville County Henderson Waterbody Clear Creek Classification B;Tr River Basin French Broad 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 * �c�r� Date * 11 /15/2019