NCG050301 Renewal COC Request_20180629

Environmental
Quality
Permit COC
NCG050301
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Willis Vance
Obtaining COC*
First and Last Name
Phone Number*
8283962373
Email *
[e-mail]
The OOC will be e-rreiled to this contact.
Additional Email
[e-mail]
(Optional) Enter an additional email 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].
Master General
NCG050000
Permit No.
COC No.
NCG050301
Permittee
Pregis Innovative Packaging Inc
Facility Name
Pregis Innovative Packaging, Inc.
Address
3825 N Main Srtreet
City
Granite Falls
County
Caldwell
Waterbody
Little Gunpowder Creek
Classification
WS -IV
River Basin
Catawba
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 *
Date * 06/29/2018