NCG050153_Renewal COC Request_20180618 9:50:26 AM

Environmental
Quality
Permit COC
NCG050153
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Karen
Obtaining COC*
First and Last Name
Phone Number* 910-995-8292
Email * [e-mail]
The OOC will be e-mailed to this contact.
Additional Email (Optional) Enter an additional enail address to whom to send the COC
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
NCG050000
Permit No.
COC No.
NCG050153
Permittee
Cascades Tissue Group - North Carolina A
Division of Cascades Holding US Inc
Facility Name
Cascades Tissue Group - Rockingham
Address
805 Midway Rd
City
Rockingham
County
Richmond
Waterbody
Hitchcock Creek (Roberdel Lake)
Classification
WS-III;CA
River Basin
Yadkin
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
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 *
al -11W rte
Date * 06/18/2018