NCG050398_Renewal COC Request_20180622 10:43:05 AM

Environmental
Quality
Permit COC
NCG050398
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
Paul r. Chavis
Obtaining COC*
First and Last Name
Phone Number*
919-435-5554
Email *
[e-mail]
The OOC will 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
NCG050000
Permit No.
COC No.
NCG050398
Permittee
K -Flex USA
Facility Name
K -Flex USA
Address
100 Namco Dr
City
Youngsville
County
Franklin
Waterbody
Hattles Branch
Classification
QNSW
River Basin
Neuse
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 *
al;alllellle 64"'w
Date * 06/22/2018