NCG070099_Renewal COC Request_20180807 2:29:12 PM

JI
Environmental
Quality
Permit COC
NCG070099
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
Facility Name
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
William C. Johnson
Obtaining COC*
First and Last Narre
Phone Number* 252-234-5241
Email * [e-mail]
The COCwill 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.
NCG070099
Permittee
Ardagh Glass Inc
Facility Name
Ardagh Glass Inc.
Address
2201 Firestone Pkwy
City
Wilson
County
Wilson
Waterbody
Toisnot Swamp (Toisnot Reservoir)
Classification
WS-III;NSW,CA
River Basin
Neuse
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 *
V'51211lalfr• 6`'. C-1;To dl -
Date * 08/07/2018