HomeMy WebLinkAboutNCG030436_Renewal COC Request_20181206 7:51:59 AM'rl n
NORTH CAFOLINA
Emlre -.1 Qd Wy
Permit COC
NCG030436
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
Sonya Walsh
Obtaining COC*
First and LastNarre
Phone Number* 919-212-6400 ext.155
Email * swalsh@accufabnc.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 NCG030000
Permit No.
COC No.
NCG030436
Permittee
Accu Fab Inc
Facility Name
Accu Fab Incorporated
Address
801 Beacon Lake Dr
City
Raleigh
County
Wake
Waterbody
Crabtree Creek
Classification
QNSW
River Basin
Neuse
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 * 12/06/2018