NCG030641_Renewal COC Request_20181207 2:58:10 PM

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Permit COC
NCG030641
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 CAFTTAL "NCG'
Name of Person
Brannon Russell
Obtaining COC*
First and LastNarre
Phone Number* 336-949-5116
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].
M aste r Ge ne ral NCG030000
Permit No.
COC No.
NCG030641
Permittee
Strum Ruger & Company
Facility Name
Strum, Ruger & Company
Address
271 Cardwell Rd
City
Mayodan
County
Rockingham
Waterbody
Mayo River
Classification
C
River Basin
Roanoke
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 * 12/07/2018