NCG030617_Renewal COC Request_20190329 3:36:03 PM

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NORTH CAFOLINA
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Permit COC
NCG030617
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
Lanette Plyler
Obtaining COC*
First and LastNarre
Phone Number* 9807221811
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.
NCG030617
Permittee
Cormetech Inc
Facility Name
Cormetech, Inc.
Address
11707 Steele Creek Rd
City
Charlotte
County
Mecklenburg
Waterbody
Neal Branch (Armour Creek) and Steele
Creek
Classification
C
River Basin
Catawba
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 *
16t ` I .'�el

Date * 03/29/2019