NCG210219_Renewal COC Request_20190521 3:56:02 PM

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NORTH CAFOLINA
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Permit COC
NCG210219
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Doug Dunne
Obtaining COC*
First and LastNarra
Phone Number* 919-496-5771
Email* [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional errail address to whom to send the CDC
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 NCG210000
Permit No.
COC No.
NCG210219
Permittee
Toney Lumber Co Inc
Facility Name
Toney Lumber Co Incorporated
Address
309 Bunn Rd
City
Louisburg
County
Franklin
Waterbody
TAR RIVER
Classification
WS-IV;NSW
River Basin
Tar -Pamlico
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 * 05/21 /2019