NCG100175_Renewal COC Request_20190117 4:40:58 PM

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NORTH CAFOLINA
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Permit COC
NCGlOO175
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WITH CAPITAL "NOG'
Name of Person
Stephanie Martin
Obtaining COC*
First and LastNarra
Phone Number* 9193656667
Email* [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional errail address to whom to send the GOC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
Master General NCGl00000
Permit No.
COC No.
NCG100175
Permittee
Martin's Import Salvage
Facility Name
Martin's Import Salvage
Address
3468 Wendell Rd
City
Wendell
County
Johnston
Waterbody
Buffalo Creek (Wendell Lake)
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 * 01 /17/2019