NCG050084_Renewal COC Request_20180626 2:51:45 PM

JI
Environmental
Quality
Permit COC
NCG050084
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
James Neubauer
Obtaining COC*
First and Last Name
Phone Number* 704-226-8335
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.
NCG050084
Permittee
Charlotte Pipe & Foundry Co
Facility Name
Charlotte Pipe & Foundry Cc
Address
4210 Old Charlotte MNy
City
Monroe
County
Union
Waterbody
Stewarts Creek
Classification
WS -III
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 *
01,E
Date * 06/26/2018