NCG070183_Renewal COC Request_20180731 7:52:35 AM

JI
Environmental
Quality
Permit COC
NCG070183
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
Facility Name
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Mark Greene
Obtaining COC*
First and Last Name
Phone Number*
704-507-1070
Email * [e-mail]
The OOCw ill 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 NCG070000
Permit No.
COC No.
NCG070183
Permittee
D H Griffin Wrecking Company
Facility Name
D.H. Griffin Wrecking Company
Address
11205 Reames Rd
City
Charlotte
County
Mecklenburg
Waterbody
Dixon 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 *
e;Mr,",0 6� 6 ww,
Date * 07/31/2018