NCG050209_Renewal COC Request_20180705 10:03:03 AM

JI
Environmental
Quality
Permit COC
NCG050209
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NOW30000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Michael Swanson
Obtaining COC*
First and Last Narre
Phone Number* 910-887-6255
Email * [e-mail]
The COCwill be e-mailed to this contact.
Additional Email (Optional) Enter an additional enail 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
NCG050000
Permit No.
COC No.
NCG050209
Permittee
International Paper Company
Facility Name
International Paper Company -Lumberton
CBP
Address
820 Caton Rd
City
Lumberton
County
Robeson
Waterbody
LUMBER RIVER
Classification
B;Sw,HQW
River Basin
Lumber
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 * 07/05/2018