NCG210320_Renewal COC Request_20190722 3:04:13 PM

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NORTH CAFOLINA
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Permit COC
NCG210320
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
Lynn Greene
Obtaining COC*
First and LastNarra
Phone Number* 704-291-6851
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.
NCG210320
Permittee
Edward Wood Products Inc - Alamance
Facility Name
Edward's Wood Products Inc - Alamance
Address
3230 Staley Store Rd
City
Liberty
County
Alamance
Waterbody
North Prong Richland Creek (Farlows Lake)
Classification
C
River Basin
Cape Fear
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 * 07/22/2019