NCG120098_Renewal COC Request_20190529 8:44:12 AM

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Permit COC
NCG120098
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 CAFTTAL "NCG'
Name of Person
John Frazier
Obtaining COC*
First and LastNarra
Phone Number* 828-646-2028
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 GOC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
Master General
NCG120000
Permit No.
COC No.
NCG120098
Permittee
Evergreen Packaging
Facility Name
Blue Ridge Paper Products
Address
175 Main St
City
Canton
County
Haywood
Waterbody
Bowen Branch and Pigeon River (Waterville
Lake)
Classification
C
River Basin
French Broad
RENEWAL STATUS
Active
Issuance Date *
10/29/2018
Effective Date
11/01/2018
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 * 05/29/2019