NCG050404_Renewal COC Request_20190507 10:49:40 PM

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NORTH CAFOLINA
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Permit COC
NCG050404
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
Ronald Cobb
Obtaining COC*
First and LastNarre
Phone Number* 704-821-2337
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
NCG050000
Permit No.
COC No.
NCG050404
Permittee
Berry Global
Facility Name
Berry Global
Address
303 Seaboard Dr
City
Matthews
County
Union
Waterbody
South Fork Crooked Creek
Classification
C
River Basin
Yadkin
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 * 05/07/2019