NCG130080_Renewal COC Request_20180621 4:06:07 PM

Environmental
Quality
Permit COC
NCG130080
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
CHRIS DICKSON
Obtaining COC*
First and Last Narre
Phone Number*
7044632206
Email *
[e-mail]
The COCwill be e -n -ailed 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.
NCG130080
Permittee
Fiber Composites LLC
Facility Name
Fiberon Recycling
Address
44017 Hwy 52 N
City
New London
County
Stanly
Waterbody
Curl Tail Creek
Classification
WS -IV
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 Stormwater Permit records.
Signature *
r-41t6y 0M
Date * 06/21/2018