NCG050286_Renewal COC Request_20180702 3:10:32 PM

JI
Environmental
Quality
Permit COC
NCG050286
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
Paul Landry
Obtaining COC*
First and Last Name
Phone Number* 910-997-2775
Email * [e-mail]
The COCwill be e-mailed to this contact.
Additional Email spg_moulded_pulp_front_desk@cascades.c
om
(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].
M aste r Ge ne ral
NCG050000
Permit No.
COC No.
NCG050286
Permittee
Cascades Moulded Pulp
Facility Name
Cascades Moulded Pulp
Address
112 Cascades Way
City
Rockingham
County
Richmond
Waterbody
Falling Creek (Hinson Lake, Great Falls
Pond)
Classification
C
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 *

Date * 07/02/2018