NCG210114_Renewal COC Request_20180830 3:06:34 PM

JI
Environmental
Quality
Permit COC
NCG210114
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
Mike Senter
Obtaining COC*
First and Last Narre
Phone Number*
9194963153
Email *
[e-mail]
The OOC will be e-mailed 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
NCG210000
Permit No.
COC No.
NCG210114
Permittee
Pruitt Lumber Company Inc
Facility Name
Pruitt Lumber Comapny Inc
Address
387 NC 56 Hwy E
City
Louisburg
County
Franklin
Waterbody
Sycamore Creek
Classification
QNSW
River Basin
Tar -Pamlico
RENEWAL STATUS
Active
Issuance Date*
07/31/2018
Effective Date
08/01/2018
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 *
1�{,fie Se�le�
Date * 08/30/2018