NCG210147_Renewal COC Request_20180905 7:55:59 AM

JI
Environmental
Quality
Permit COC
NCG210147
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
Jessie Clark
Obtaining COC*
First and Last Name
Phone Number*
828-312-5547
Email *
[e-mail]
The COCwill 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
NCG210000
Permit No.
COC No.
NCG210147
Permittee
Terra Mulch Products LLC
Facility Name
Terra Mulch Products LLC
Address
219 Simpson St
City
Conover
County
Catawba
Waterbody
Cline Creek
Classification
C
River Basin
Catawba
RENEWAL STATUS
Active
Issuance Date*
07/31/2018
Effective Date
08/01/2018
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 *
,Tess�e Ci}a-k
Date * 09/05/2018