NCG050029_Renewal COC Request_20180626 12:10:01 PM

JI
Environmental
Quality
Permit COC
NCG050029
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
CHRIS ALVIS
Obtaining COC*
First and Last Name
Phone Number* 7048387038
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.
NCG050029
Permittee
3 A Composites USA Inc
Facility Name
3A Composites USA, Inc.
Address
3480 Taylorsville Hwy
City
Statesville
County
Iredell
Waterbody
Morrison 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 *
CL -J
Date * 06/26/2018