NCG210341_Renewal COC Request_20190722 3:07:34 PM

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NORTH CAFOLINA
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Permit COC
NCG210341
Number *
Enter the Certificate of Coverage (OOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NOG030000) 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.
NCG210341
Permittee
Edwards Wood Products Inc
Facility Name
Edwards Wood Products Inc-Mp
Address
2215 Old Lawyers Rd
City
Marshville
County
Union
Waterbody
Becky Branch
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 *
Date * 07/22/2019