NCG050237_Renewal COC Request_20181029 11:08:37 AM

Envirnnmun tat
Quality
Permit COC
NCG050237
Number *
Enter the Certificate of Coverage (COC) number, not the General Rsnit number (e.g., NOG030222 is the OCC, not
N00030000) MBT BEGIN WTTH CAPRAL "NO3'
Name of Person
Shane Harterink
Obtaining COC*
First and LastNarre
Phone Number*
3368303264
Email*
[e-mail]
The COCwill be e-mailed to this contact.
Additional Email
(Optional) Enter an additional erailaddress 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
NCG050000
Permit No.
COC No.
NCG050237
Permittee
Westrock Cp LLC
Facility Name
WestRock CP, LLC
Address
8080 N Point Blvd
City
Winston Salem
County
Forsyth
Waterbody
Monarcas Creek
Classification
C
River Basin
Yadkin
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 * 10/29/2018