NCG050138_Renewal COC Request_20181116 12:29:24 PM

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Permit COC
NCG050138
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
COC No.
NCG030000) M -ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Bethany Georgoulias
Obtaining COC*
First and LastNarre
Phone Number* [phone]
Email * [e-mail]
The COC will be e -nailed 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].
M aste r Ge ne ral
NCG050000
Permit No.
COC No.
NCG050138
Permittee
Day International
Facility Name
Day International
Address
PO Box 1077
City
Arden
County
Buncombe
Waterbody
Powell Creek (Lake Julian)
Classification
C
River Basin
French Broad
RENEWAL STATUS
Active
issuance Date*
07/11/2018
Effective Date
07/11/2018
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
I�frrlir �Eoile�t�f

Date * 11/16/2018