NCG070022_Renewal COC Request_20190326 12:27:57 PM

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NORTH CAFOLINA
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Permit COC
NCG070022
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
Jeremy Decker
Obtaining COC*
First and LastNarre
Phone Number* 8285246483
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 NCG070000
Permit No.
COC No.
NCG070022
Permittee
B & B Concrete Products Inc
Facility Name
B & B Concrete Products Incorporated
Address
1687 Georgia Hwy
City
Franklin
County
Macon
Waterbody
Cartoogechaye Creek
Classification
B;Tr
River Basin
Little Tennessee
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
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 * 03/26/2019