NCG050111_Renewal COC Request_20180625 10:37:07 AM

Environmental
Quality
Permit COC
NCG050111
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
Scott Ward
Obtaining COC*
First and Last Name
Phone Number*
828-692-6254
Email *
[e-mail]
The COCwill be e-mailed 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].
Master General
NCG050000
Permit No.
COC No.
NCG050111
Permittee
Shorewood Packaging LLC
Facility Name
Shorewood Packaging Corporation
Address
200 Tabor Rd
City
East Flat Rock
County
Henderson
Waterbody
Bat Fork
Classification
C
River Basin
French Broad
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 *
01.E m�i/i orle
Date * 06/25/2018