NCG210073_Renewal COC Request_20180831 11:24:32 AM

JI
Environmental
Quality
Permit COC
NCG210073
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
J. F. Hanks
Obtaining COC*
First and Last Name
Phone Number*
336 593-2022
Email *
[e-mail]
The COCwill 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.
NCG210073
Permittee
Bill Hanks Lumber Co
Facility Name
Bill Hanks Lumber Co
Address
2655 Piney Grove Church Rd
City
Danbury
County
Stokes
Waterbody
Bonds Branch
Classification
C;Tr
River Basin
Roanoke
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 *
C' W
Date * 08/31/2018