NCG060081_Renewal COC Request_20200324 3:27:58 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG060081
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
Brandi Collignon
Obtaining COC*
First and Last Narre
Phone Number*
812-827-1440
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
NCG060000
Permit No.
COC No.
NCG060081
Permittee
Ccbcc Operations LLC
Facility Name
Snyder Production Center
Address
4901 Chesapeake Dr
City
Charlotte
County
Mecklenburg
Waterbody
Stewart Creek
Classification
C
River Basin
Catawba
RENEWAL STATUS
Active
Issuance Date*
10/29/2018
Effective Date
11/01/2018
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 * 03/24/2020