NCG050409_Renewal COC Request_20180717 11:25:13 AM

Environmental
Quality
Permit COC
NCG050409
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
Garrett Lyons
Obtaining COC*
First and Last Name
Phone Number*
[phone]
Email *
[e-mail]
The OOCw ill be e-mailed 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
NCG050000
Permit No.
COC No.
NCG050409
Permittee
Dnp Imagingcomm America Corporation
Facility Name
DNP Imagingcomm America Corporation
Address
4524 Enterprise Dr Nw
City
Concord
County
Cabarrus
Waterbody
Afton Run
Classification
C
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 * 07/17/2018