NCG050396_Renewal COC Request_20191231 11:12:48 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG050396
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 "NCG'
Name of Person
Robert Steeb
Obtaining COC*
First and Last Name
Phone Number*
704-720-5361
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
NCG050000
Permit No.
COC No.
NCG050396
Permittee
Celgard LLC
Facility Name
Celgard Concord Plant
Address
390 Business Blvd Nw,
City
Concord
County
Cabarrus
Waterbody
Afton Run
Classification
C
River Basin
Yadkin
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
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 * 12/31 /2019