NCG030401_Renewal COC Request_20181129 2:24:37 PM

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NORTH CAFOLINA
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Permit COC
NCG030401
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Lynn Jourden
Obtaining COC*
First and LastNarra
Phone Number* 9105277239
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional email address to whom to send the CDC
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.
NCG030401
Permittee
Hercules Steel Co
Facility Name
Hercules Steel Co -Cumberland
Address
950 Country Club Dr
City
Fayetteville
County
Cumberland
Waterbody
Cross Creek (Big Cross Creek) (Texas Pond,
Smith Lake, Rose Lake)
Classification
WS-IV
River Basin
Cape Fear
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 *

Date * 11 /29/2018