NCG210127_Renewal COC Request_20200219 11:01:14 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG210127
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
BRYAN SWIFT
Obtaining COC*
First and Last Name
Phone Number*
2522297988
Email *
[e-mail]
The COC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the OOC
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
NCG210000
Permit No.
COC No.
NCG210127
Permittee
Baillie Lumber Company Inc
Facility Name
World Wood Company
Address
12045 Old US Hwy 70 E
City
Cove City
County
Craven
Waterbody
Core Creek
Classification
C;Sw,NSW
River Basin
Neuse
RENEWAL STATUS
Active
Issuance Date*
07/31/2018
Effective Date
08/01/2018
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 *
i
s �
Date * 02/19/2020