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HomeMy WebLinkAboutNCG050407_Renewal COC Request_20180723 3:58:19 PMEnvironmental Quality Permit COC NCG050407 Number * Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not NCG030000) MUST BEGIN WITH CARTAL "NO3' Name of Person Steve Hartzog Obtaining COC* First and Last Name Phone Number* 9802582282 Email * shartzog@wilbertinc.com The OOCw ill be e-mailed to this contact. Additional Email shartzog@wilbertinc.com (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 (919) 807-6372 or bethany.georgoulias@ncdenr.gov. Master General NCG050000 Permit No. COC No. NCG050407 Permittee Wilbert Plastic Services Facility Name Wilbert Plastic Services Address 1000 Oaks Pkwy City Belmont County Gaston Waterbody South Fork Catawba River Classification WS -V River Basin Catawba 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 * a '.el-� 6 tC 7 Date * 07/23/2018