NCG210426_Renewal COC Request_20181112 10:11:32 AM

JI
Environmental
Quality
Permit COC
NCG210426
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
Carol Roberts
Obtaining COC*
First and Last Name
Phone Number*
8287759402
Email *
[e-mail]
The COCwill be e-rreiled 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.
NCG210426
Permittee
I-26 Woodyard Inc
Facility Name
I-26 Woodyard Inc
Address
180 California Creek Dr
City
Mars Hill
County
Madison
Waterbody
California Creek
Classification
WS-II;HQW
River Basin
French Broad
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 *
Date * 11/12/2018