NCG100175_Renewal COC Request_20200408 11:48:46 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG100175
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Rarnit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Junior Martin
Obtaining COC*
First and Last Name
Phone Number* [phone]
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].
Master General
NCG100000
Permit No.
COC No.
NCG100175
Permittee
Martin's Import Salvage
Facility Name
Martin's Import Salvage
Address
3468 Wendell Rd
City
Wendell
County
Johnston
Waterbody
Buffalo Creek (Wendell Lake)
Classification
C;NSW
River Basin
Neuse
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 * 04/08/2020