NCG140483_Renewal COC Request Review_20240716

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/10/2024 4:43:19 PM (COC Request Submission)
Submit by Joyce Sanford 7/16/2024 4:04:46 PM (Review COC Request for NCG140483)
0 Verified address change/update(not physical move)with Bill West via email on 7/10/2024.Zip code
above has a typo-should stay 28445. Updated BIMS Facility address on 7/10.
• The task was assigned to bethany.georgoulias.The due date is:July 15,2024 5:00 PM
7/10/2024 4:43:23 PM
• bethany.georgoulias reassigned the task to Joyce Sanford 7/11/2024 12:08:35 PM
Please verify fees up to date, renew COC in BIMS,and issue COC with Laserfiche. I updated the
0 Facility address in BIMS yesterday and have uploaded the report confirmation so it will go out along
with the new COC.Thanks!

Iwo
NPDES Stormwater COC Renewal Request Review
09VII
Permit COC Number* NCG140483
Enter the Certificate of Coverage(COC)number.MUST BEGIN WITH CAPITAL"NCG"
NOTE:You can verify the COC facility information and renewal status by running this Permit Summary Report(check the
Permit Status at the top of the report). If the permit is expired,a renewal COC will not be available.This may be
because fees are owed.You can check for outstanding invoices at https://deq.nc.gov/sw-epayments.
.- the COC is still expired or not available, but owed fees have been paid.
permit information on the COC is incorrect or old.
What is incorrect? Address should be:
200 Betty Taylor Wood Drive
Holly Ridge, NC 28455
Master General Permit NCG140000
Issuance Date* 06/30/2022
Master General Permit Issuance
Effective Date 07/01/2022
Master General Permit Effective
Name of Person Warren Sinclair
Requesting COC* First and Last Name
Phone Number* 910-899-8129
Email* [e-mail]
The COC will be e-mailed to this contact.
Additional Email [e-mail]
(Optional)Enter an additional email address to whom to send the COC
I 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. If a COC is not available, I request a
follow-up from Stormwater Program staff.
In addition, I agree that submission of this form is a"transaction"subject to Chapter 66,Article 40 of the NC General
Statutes(the"Uniform Electronic Transactions Act");and I agree to conduct this transaction by electronic means pursuant
to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act");
Signature
JzJ�t
Date* 07/10/2024
Time 04:43:19 PM
Permittee* Verify owner/operator is correct.
Crete Solutions LLC
Facility Name* Crete Solutions Holly Ridge Plant
Verify facility name is correct.

Address 200 Betty Taylor Wood Drive
City Holly Ridge
County Onslow
Is the COC eligible Check to see if it has already been renewed/created before choosing"Yes"
for renewal or Yes(will generate a new COC).
revision?* No,fees are still outstanding.
No, it was already renewed and is available.
No,for another reason.
If the COC needs to be renewed or corrected,enter waterbody information and appropriate dates below.
Receiving Water(s)* Enter all unique receiving waters identified in BIMS.
Cypress Branch
Waterbody (e.g.,WS-IV)List multiple classifications as they should read on the COC.
Classification(s)* SA;HQW
River Basin(s)* Enter the name of the river basin(s)the receiving waters drain in.
Cape Fear
(Just the Basin name.Do not include the words"River Basin")
COC Issuance Date* 7/10/2024
COC Effective Date* 7/10/2024
WW Heading* AND WASTEWATER
This field will be hidden but used on the COC.
WW Discharge* and wastewater
This field will be hidden but used on the COC.
COC status in BIMS Choose Active if you have just renewed the COC successfully.
Now* Active
Expired
Inactive
Comments Additional information to convey to requester in e-mail communication.
Document(s)to add Documents that may be helpful to send requester(e.g.,fees owed letter or BIMS screen shot).
to records NCG140483_Permit Summary Report with Address
80.36KB
Correcti on_20240711.pdf
PDF or JPG allowed
Request Instance ID 206703
For request tracking purposes only.
Review Date* 7/16/2024