NCG050317_Renewal COC Request_20180810 4:45:44 PM

Environmental
Quality
Permit COC
NCG050317
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Franchellie Brewer
Obtaining COC*
First and Last Name
Phone Number*
336-634-4020
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
NCG050000
Permit No.
COC No.
NCG050317
Permittee
Henniges Automotive North America Inc
Facility Name
Henniges Automotive North America, Inc.
Address
226 Watlington Indusrial Dr
City
Reidsville
County
Rockingham
Waterbody
Little Troublesome Creek
Classification
WS-V;NSW
River Basin
Cape Fear
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 * 08/10/2018