NCG050373_Renewal COC Request_20200124 4:50:46 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG050373
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
Adam Brockway
Obtaining COC*
First and Last Name
Phone Number*
704-371-5536
Email *
[e-mail]
The COC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend 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
NCG050000
Permit No.
COC No.
NCG050373
Permittee
Pactiv LLC
Facility Name
Pactiv, LLC - Huntersville Plant
Address
14201 Meacham Farm Rd
City
Huntersville
County
Mecklenburg
Waterbody
Cane Creek
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 * 01 /24/2020