NCG210343_Renewal COC Request_20180904 10:50:38 AM

Environmental
Quality
Permit COC
NCG210343
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Lynn Greene
Obtaining COC*
First and Last Name
Phone Number* 704-291-6851
Email * [e-mail]
The OOCw ill 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].
M aste r Ge ne ral
NCG210000
Permit No.
COC No.
NCG210343
Permittee
Edwards Wood Products Inc
Facility Name
Edwards Wood Products Inc - SR 1611
Address
Sr1611
City
Laurinburg
County
Scotland
Waterbody
Shoe Heel Creek (Big Shoe Heel Creek)
(Maxton Pond)
Classification
C;Sw
River Basin
Lumber
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 Storni Permit records.
Signature *
Date * 09/04/2018