NCG050280_Renewal COC Request_20180627 10:05:12 AM

JI
Environmental
Quality
Permit COC
NCG050280
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Mark A. Powell
Obtaining COC*
First and Last Name
Phone Number*
252-984-4110
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.
NCG050280
Permittee
Berry Plastics Corporation
Facility Name
BPRex Healthcare Packaging, Inc.
Address
6941 Corporation Pkwy
City
Battleboro
County
Nash
Waterbody
Swift Creek
Classification
QNSW
River Basin
Tar -Pamlico
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*
Date * 06/27/2018