NCG210118_Renewal COC Request_20180911

JI
Environmental
Quality
Permit COC
NCG210118
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the COC, not
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Gary Middleton
Obtaining COC*
First and Last Name
Phone Number*
678-428-5233
Email *
[e-mail]
The OOCw ill 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
NCG210000
Permit No.
COC No.
NCG210118
Permittee
Meherrin River Forest Products
Facility Name
Meherrin River Forest Products
Address
985 Old Macon Hwy
City
Vaughan
County
Warren
Waterbody
Hubquarter Creek
Classification
C
River Basin
Roanoke
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 *
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Date * 09/11/2018