NCG030006_Renewal COC Request_20181126 2:54:58 PM

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NORTH CAFOLINA
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Permit COC
NCG030006
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAFTTAL "NCG'
Name of Person
Doreen A. Shiers
Obtaining COC*
First and LastNarra
Phone Number* 2528273278
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional email address to whom to send the GOC
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 NCG030000
Permit No.
COC No.
NCG030006
Permittee
ABB Inc
Facility Name
ABB Inc-Edgecombe
Address
Hwy 43 N
City
Pinetops
County
Edgecombe
Waterbody
Town Creek
Classification
WS-IV
River Basin
Hiwassee
RENEWAL STATUS
Active
Issuance Date*
10/29/2018
Effective Date
11/01/2018
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 * 11 /26/2018