NCG060368_Renewal COC Request_20190102 11:12:47 AM

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NORTH CAFOLINA
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Permit COC
NCG060368
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 "NCG'
Name of Person
Nick Ampe
Obtaining COC*
First and LastNarra
Phone Number* 9702210524
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
NCG060000
Permit No.
COC No.
NCG060368
Permittee
New Belgium Brewing Company Inc
Facility Name
New Belgium Brewing Company, Inc.
Address
91 Craven St
City
Biltmore Lake
County
Buncombe
Waterbody
FRENCH BROAD RIVER
Classification
B
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 * 01 /02/2019