NCG210454_Renewal COC Request_20180914 2:11:00 PM

JI
Environmental
Quality
Permit COC
NCG210454
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NOW30000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Michael Duff
Obtaining COC*
First and Last Name
Phone Number* 7043912227
Email * [e-mail]
The COCwill be e-mailed to this contact.
Additional Email (Optional) Enter an additional enail 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
NCG210000
Permit No.
COC No.
NCG210454
Permittee
Chep Recycled Pallet Sollutions LLC
Facility Name
CHEP Recycled Pallet Solutions, LLC -
Charlotte
Address
901 Carrier Dr
City
Charlotte
County
Mecklenburg
Waterbody
Stewart 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 *
Date * 09/14/2018