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HomeMy WebLinkAboutNCG210415_Renewal COC Request_20190108 10:04:38 AM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG210415 Number * Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not NCG030000) M-ST BEGIN WTTH CAPITAL "NCG' Name of Person douglas e. richardson Obtaining COC* First and LastNarre Phone Number* 9104394972 Email * drichardson@jordanlumber.com The COC will be e-rrailed to this contact. Additional Email drichardson@jordanlumber.com (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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG210000 Permit No. COC No. NCG210415 Permittee Cotton Creek Chip Company Facility Name Cotton Creek Chip Company Address 4483 Spies Rd City Mount Gilead County Moore Waterbody Cabin Creek Classification C River Basin Yadkin 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 * ew �11?t-®ri-In"Iedew Date * 01 /08/2019