NCG030483_Renewal COC Request_20190828 12:40:33 PM

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NORTH CAFOLINA
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Permit COC
NCG030483
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
Peter Poao
Obtaining COC*
First and LastNarra
Phone Number* 3365061894
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.
NCG030483
Permittee
Cmc Rebar Carolinas
Facility Name
CIVIC Rebar Carolinas
Address
2528 N Chester St
City
Gastonia
County
Gaston
Waterbody
Long Creek
Classification
WS-II;HQW
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
c7t

Date * 08/28/2019