NCG070204_Renewal COC Request_20180913 11:09:20 AM

Environmental
Quality
Permit COC
NCG070204
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Doug Fouts
Obtaining COC*
First and Last Name
Phone Number* 336 275-9114
Email * [e-mail]
The COCwill be e-mailed to this contact.
Additional Email (Optional) Enter an additional eneil 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.
NCG070204
Permittee
Adams an Oldcastle Company
Facility Name
Adams an Oldcastle Company - Castle
Hayne
Address
5225 Holly Shelter Rd
City
Castle Hayne
County
New Hanover
Waterbody
Northeast Cape Fear River
Classification
B;Sw
River Basin
Cape Fear
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 Storni Permit records.
Signature *
Date * 09/13/2018