NCG030519_Renewal COC Request_20181214 4:55:23 PM

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NORTH CAFOLINA
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Permit COC
NCG030519
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
Anthony Woopdard
Obtaining COC*
First and LastNarre
Phone Number* 2529726032
Email * [e-mail]
The COCwill 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.
NCG030519
Permittee
Draka Elevator Products
Facility Name
Draka Elevator Products Inc - Corporate
Parkway
Address
6809 Corporation Pkwy
City
Rocky Mount
County
Nash
Waterbody
Unnamed Tributary to Swift Creek
Classification
WS-III;NSW,CA
River Basin
Neuse
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 *
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Date * 12/14/2018