NCG050304_Renewal COC Request_20180625 10:49:45 AM

JI
Environmental
Quality
Permit COC
NCG050304
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
Facility Name
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Eddie Fischer
Obtaining COC*
First and Last Narre
Phone Number* 7046454657
Email * [e-mail]
The COCwill be e-mailed to this contact.
Additional Email (Optional) Enter an additional enail 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 NCG050000
Permit No.
COC No.
NCG050304
Permittee
Csp Composites LLC
Facility Name
Salisbury Division
Address
6701 Statesville Blvd
City
Salisbury
County
Rowan
Waterbody
Second Creek (North Second 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 Stormwater Permit records.
Signature *
Date * 06/25/2018