NCG050344_Renewal COC Request_20180627 4:11:22 PM

JI
Environmental
Quality
Permit COC
NCG050344
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NCG030000) KWT BEGIN WITH CARTAL "NO3'
Name of Person
James Mahala
Obtaining COC*
First and Last Name
Phone Number* 336-731-9361
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
NCG050000
Permit No.
COC No.
NCG050344
Permittee
Atrium Windows And Doors
Facility Name
Atrium Windows and Doors
Address
300 Welcome Center Blvd
City
Welcome
County
Davidson
Waterbody
Cain 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
Date * 06/27/2018