NCG070038_Renewal COC Request_20180622 11:28:35 AM

Environmental
Quality
Permit COC
NCG070038
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the ODC, not
COC No.
NCG030000) MUST BEGIN WTTH CARTAL "NCG'
Name of Person
Latt Moretz
Obtaining COC*
First and Last Name
Phone Number* 828-495-7731
Email * [e-mail]
The COCwill be e-mailed to this contact.
Additional Email (Optional) Enter an additional eneil 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].
M aste r Ge ne ral
NCG070000
Permit No.
COC No.
NCG070038
Permittee
Bethlehem Manufacturing Co Inc
Facility Name
Bethlehem Manufacturing Co Inc
Address
Bethlehem Manufacturing R
City
Hickory
County
Alexander
Waterbody
CATAWBA RIVER (Lake Hickory below
elevation 935)
Classification
WS-IV,B;CA
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 Storni Permit records.
Signature *
a� ' ao��t
Date * 06/22/2018