Loading...
HomeMy WebLinkAboutNCG050037_Renewal COC Request_20180927 7:40:37 AMJI Environmental Quality Permit COC NCG050037 Number * Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not COC No. NCG030000) MUST BEGIN WITH CARTAL "NO3' Name of Person Jerry W. Eplin Obtaining COC* First and Last Name Phone Number* 8282678212 Email * jeplin@shurtape.com 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 (919) 807-6372 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG050000 Permit No. COC No. NCG050037 Permittee Shurtape Technologies, LLC Facility Name Shurtape Tech Incorporated -Hickory Address 1620 Highland Ave NE City Hickory County Catawba Waterbody Lyle Creek Classification C River Basin Catawba 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 C%B�r� �� rCr4'.• Date * 09/27/2018