NCG210358_Renewal COC Request_20180831 4:19:50 PM

JI
Environmental
Quality
Permit COC
NCG210358
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
Joseph Mark
Obtaining COC*
First and Last Narre
Phone Number* [phone]
Email * [e-mail]
The OOC will be e-mailed to this contact.
Additional Email (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
NCG210000
Permit No.
COC No.
NCG210358
Permittee
Ufp New London LLC
Facility Name
UFP New London LLC
Address
174 Random Dr
City
New London
County
Stanly
Waterbody
Town Creek
Classification
C
River Basin
Yadkin
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 *
Joseph 14&-k
Date * 08/31/2018