NCG070190_Renewal COC Request_20180618 2:27:50 PM

Envirnnmun tat
Quality
Permit COC
NCG070190
Number *
Enter the Certificate of Coverage (COC) number, not the General Rsnit number (e.g., NOG030222 is the OCC, not
N00030000) "T BEGIN WTTH CAPRAL "NO3'
Name of Person
Kenneth Pearson
Obtaining COC*
First and LastNarre
Phone Number*
8287564651
Email*
[e-mail]
The COCwill be e-mailed to this contact.
Additional Email
(Optional) Enter an additional email address to whom to send 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
NCG070000
Permit No.
COC No.
NCG070190
Permittee
Blue Ridge Quarries
Facility Name
Blue Ridge Quarries
Address
8487 US Hwy 221 N
City
Marion
County
McDowell
Waterbody
North Fork Catawba River
Classification
B;Tr
River Basin
Catawba
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 *
— ,&w
Date * 06/18/2018