NCG210156_Renewal COC Request_20180904 1:34:15 PM

JI
Environmental
Quality
Permit COC
NCG210156
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 WITH CARTAL "NO3'
Name of Person
Timothy Parton
Obtaining COC*
First and Last Name
Phone Number* 828-286-9069
Email * [e-mail]
The COCwill 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.
NCG210156
Permittee
Gilkey Lumber Company Inc
Facility Name
Gilkey Lumber - Rutherfordton Facility
Address
2250 US Hwy 221 N
City
Rutherfordton
County
Rutherford
Waterbody
Catheys Creek
Classification
WS -V
River Basin
Broad
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
Date * 09/04/2018