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HomeMy WebLinkAboutNCG070189_Renewal COC Request_20181205 3:43:38 PM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG070189 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 Kim Burton Obtaining COC* First and LastNbrra Phone Number* 3364665309 Email * kburton@elementia.com The COC will be e-rrailed to this contact. Additional Email (Optional) Enter an additional email address to whom to send the CDC Please review the information below for accuracy before submitting. If there are inconsistencies, please contact Bethany Georgoulias at (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG070000 Permit No. COC No. NCG070189 Permittee Plycem USA Inc Facility Name Allura Address 1149 Abtco Rd City North Wilkesboro County Wilkes Waterbody YADKIN RIVER Classification C River Basin Yadkin RENEWAL STATUS Active Issuance Date* 07/25/2018 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 * Date * 12/05/2018