NCG030655_Renewal COC Request_20190115 9:49:34 AM

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NORTH CAFOLINA
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Permit COC
NCG030655
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
TOM BETZWIESER
Obtaining COC*
First and LastNarre
Phone Number* 828-320-0761
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.
NCG030655
Permittee
American Roller Bearing and Manufacturing
Company
Facility Name
American Roller Bearing and Manufacturing
Company
Address
1095 McClain Rd
City
Hiddenite
County
Alexander
Waterbody
Third Creek
Classification
C;Sw.+
River Basin
Lumber
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 /15/2019