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HomeMy WebLinkAboutNCG180003_Renewal COC Request_20191024 6:40:22 AM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG180003 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 Bonita Ann Mathis Obtaining COC* First and LastNarra Phone Number* 7046924001 Email * bonnie.mathis@westrock.com The COC will be e-rrailed to this contact. Additional Email bonnie.mathis@vtestrock.com (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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. Master General NCG180000 Permit No. COC No. NCG180003 Permittee Westrock Converting Company Facility Name WestRock Converting Company Address 376 Pine St Ext City Forest City County Rutherford Waterbody Morrow Creek Classification WS-V River Basin Broad RENEWAL STATUS Active Issuance Date* 08/01/2019 Effective Date 08/01/2019 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 r� Date * 10/24/2019