NCG070076_Renewal COC Request_20180802 4:44:11 PM

JI
Environmental
Quality
Permit COC
NCG070076
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Heather Harper
Obtaining COC*
First and Last Name
Phone Number*
2524303602
Email *
[e-mail]
The OOC will 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
NCG070000
Permit No.
COC No.
NCG070076
Permittee
Ardagh Glass Inc
Facility Name
Ardagh Glass, Inc.
Address
620 Facet Rd
City
Henderson
County
Vance
Waterbody
Martin Creek
Classification
C;NSW:+
River Basin
Tar -Pamlico
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 *
P #tea
Date * 08/02/2018