NCG130075_Renewal COC Request_20180620 5:20:45 PM

JI
Environmental
Quality
Permit COC
NCG130075
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Aaron Blum
Obtaining COC*
First and Last Narre
Phone Number*
559-442-3968
Email *
[e-mail]
The OOCw ill be e-mailed to this contact.
Additional Email
[e-mail]
(Optional) Enter an additional email address to whom to send the COC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
Master General
NCG130000
Permit No.
COC No.
NCG130075
Permittee
Electronic Recyclers International Inc
Facility Name
Electronic Recyclers International, Inc. -
Badin Facility
Address
293 NC Hwy 740, Building #134
City
Badin
County
Stanly
Waterbody
Little Mountain Creek
Classification
C
River Basin
Yadkin
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 Storni Permit records.
Signature

Date * 06/20/2018