NCG050403_Renewal COC Request_20180709 8:15:12 AM

Envirnnmun tat
Quality
Permit COC
NCG050403
Number *
Enter the Certificate of Coverage (COC) number, not the General Rsnit number (e.g., NOG030222 is the OOC, not
N00030000) NMT BEGIN WTTH CAPRAL "NOG'
Name of Person
Bryan Hug
Obtaining COC*
First and LastNarre
Phone Number*
704-830-5510
Email*
[e-mail]
The COCwill be e-mailed to this contact.
Additional Email
(Optional) Enter an additional email address to whom to send the OOC
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.
NCG050403
Permittee
Lanxess Corp
Facility Name
Lanxess Corporation
Address
1225 Gastonia Technology Pkwy
City
Dallas
County
Gaston
Waterbody
Long Creek
Classification
C
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 Stormwater Permit records.
Signature *
Date * 07/09/2018