NCG070082_Renewal COC Request_20200110 3:20:31 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG070082
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General P n-rit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
David C Bier
Obtaining COC*
First and Last Name
Phone Number* 7736337509
Email * [e-mail]
The COC w ill be e-nailed to this contact.
Additional Email [e-mail]
(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].
M aste r Ge ne ral NCG070000
Permit No.
COC No.
NCG070082
Permittee
Yates Wilbert Vault Company
Facility Name
Yates Wilbert Vault Company
Address
2828 Rosemont St
City
Charlotte
County
Mecklenburg
Waterbody
Taggart Creek (Taggard Creek)
Classification
C
River Basin
Catawba
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 *
owlmll& 01-11

Date * 01 /10/2020