NCG070081_Renewal COC Request_20180622 10:51:04 AM

Environmental
Quality
Permit COC
NCG070081
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Elizabeth Whitman
Obtaining COC*
First and Last Narre
Phone Number*
910-897-3967
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
NCG070000
Permit No.
COC No.
NCG070081
Permittee
Concrete Pipe & Precast LLC
Facility Name
Concrete Pipe & Precast -Dunn
Address
452 Webb Rd
City
Dunn
County
Harnett
Waterbody
Mingo Swamp
Classification
C;Sw
River Basin
Cape Fear
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 *
Date * 06/22/2018