NCG100172_Renewal COC Request_20200506 10:09:05 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG100172
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the OOC, not
N00030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Ricky Young
Obtaining COC*
First and Last Name
Phone Number* 919-894-3500
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.
NCG100172
Permittee
Ricky Young
Facility Name
Young's Auto Center & Salvage
Address
2500 NC Hwy 242 S
City
Benson
County
Johnston
Waterbody
Jumping Run
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 * 05/06/2020