NCG070073_Renewal COC Request_20180709 9:59:40 AM

Environmental
Quality
Permit COC
NCG070073
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Larry Ball
Obtaining COC*
First and Last Name
Phone Number*
7043614155
Email *
[e-mail]
The COCwill be e-mailed to this contact.
Additional Email
Larry. [e-mail]
(Optional) Enter an additional email 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].
Master General
NCG070000
Permit No.
COC No.
NCG070073
Permittee
Oldcastle Precast Inc
Facility Name
Oldcastle Precast, Inc. (Fayetteville)
Address
3960 Cedar Creek Rd
City
Fayetteville
County
Cumberland
Waterbody
CAPE FEAR RIVER
Classification
C
River Basin
Cape Fear
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 *
it'f ffaa
Date * 07/09/2018