NCG210050_Renewal COC Request_20180904 1:25:13 PM

JI
Environmental
Quality
Permit COC
NCG210050
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
Facility Name
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Ronald Smith
Obtaining COC*
First and Last Narre
Phone Number* 2527232081
Email * [e-mail]
The OOCw ill be e-mailed to this contact.
Additional Email (Optional) Enter an additional eneil 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.
NCG210050
Permittee
Atlantic Veneer Corporation
Facility Name
Atlantic Veneer Corporation - Beaufort
Address
2457 Lennoxville Rd
City
Beaufort
County
Carteret
Waterbody
Taylor Creek
Classification
SC
River Basin
White Oak
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 *
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6hfk L 7V -
Date * 09/04/2018