NCG070205_Renewal COC Request_20180709 12:25:58 PM

Environmental
Quality
Permit COC
NCG070205
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Elaine Smith
Obtaining COC*
First and Last Narre
Phone Number*
704 587 4273
Email *
[e-mail]
The OOC will be e-rreiled to this contact.
Additional Email
[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.
NCG070205
Permittee
Prestress of the Carolinas
Facility Name
Prestress of the Carolinas
Address
11630 Te)dand Blvd
City
Charlotte
County
Mecklenburg
Waterbody
McCullough Branch
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 *
651'��w tyw
Date * 07/09/2018