NCG100230_Renewal COC Request_20181127 8:47:11 AM

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NORTH CAFOLINA
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Permit COC
NCGl00230
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NOG'
Name of Person
CHARLIE WALKER
Obtaining COC*
First and LastNarre
Phone Number* 828-685-8831
Email * [e-mail]
The COC will be e-rrailed 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
NCG100000
Permit No.
COC No.
NCGl00230
Permittee
Charlie's Parts & Wrecking Service Inc
Facility Name
Charlie's Used Parts & Scrap
Address
2079 Orchard Rd
City
Dana
County
Henderson
Waterbody
Devils Fork
Classification
C
River Basin
French Broad
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 /27/2018