NCG030573_Renewal COC Request_20181213 8:32:27 AM

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NORTH CAFOLINA
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Permit COC
NCG030573
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
Mary Bowen
Obtaining COC*
First and LastNarra
Phone Number* 828-687-2145
Email * [e-mail]
The COCw ill 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.
NCG030573
Permittee
Meritor Heavy Vehicle Systems LLC
Facility Name
Meritor Heavy Vehicle Systems, LLC
Address
160 Ash St
City
Forest City
County
Rutherford
Waterbody
Floyds Creek
Classification
C
River Basin
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 * 12/13/2018