NCG210450_Renewal COC Request_20200129 2:20:03 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG210450
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Bill Simon
Obtaining COC*
First and Last Name
Phone Number*
919-717-4933
Email*
[e-mail]
The COC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the OOC
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.
NCG210450
Permittee
Enviva Pellets Sampson LLC
Facility Name
Enviva Pellets Sampson, LLC
Address
5 Connector Rd Us117
City
Faison
County
Sampson
Waterbody
Panther Creek
Classification
C;Sw
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 *
fflx-1ew
Date * 01 /29/2020