NCG050175_Renewal COC Request_20180710 1:48:36 PM

Envirnnmun tat
Quality
Permit COC
NCG050175
Number *
Enter the Certificate of Coverage (COC) number, not the General Rsnit number (e.g., NOG030222 is the COC, not
NOW30000) NMT BEGIN WTTH CAPRAL "NO3'
Name of Person
Beverly Welch
Obtaining COC*
First and LastNarre
Phone Number*
704-902-4522
Email*
[e-mail]
The COCwill be e -nailed to this contact.
Additional Email
(Optional) Enter an additional enailaddress 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
NCG050000
Permit No.
COC No.
NCG050175
Permittee
International Paper Company
Facility Name
International Paper -Newton Container Plant
Address
1525 Mt Olive Church Rd
City
Newton
County
Catawba
Waterbody
McLin Creek
Classification
C
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 *
OK� W"'
Date * 07/10/2018