NCG130033_Renewal COC Request_20180711 9:57:05 AM

Environmental
Quality
Permit COC
NCG130033
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the ODC, not
COC No.
NCG030000) MUST BEGIN WTTH CARTAL "NCG'
Name of Person
Jay Sum
Obtaining COC*
First and Last Name
Phone Number* 9014191453
Email * [e-mail]
The COCwill 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].
Master General
NCG130000
Permit No.
COC No.
NCG130033
Permittee
International Paper Company
Facility Name
International Paper Co. -Charlotte Recycle
Plant
Address
201 E 28th St
City
Charlotte
County
Mecklenburg
Waterbody
Little Sugar 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 *
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Date * 07/11/2018