NCG210338_Renewal COC Request_20180905 8:18:04 AM

Environmental
Quality
Permit COC
NCG210338
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOM30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
James S. Malphrus
Obtaining COC*
First and Last Narre
Phone Number*
9199346152
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.
NCG210338
Permittee
Lampe & Malphrus Lumber
Facility Name
Lampe & Malphrus Lumber-Peedin
Address
37 Peedin Rd
City
Smithfield
County
Johnston
Waterbody
Buffalo Creek
Classification
QNSW
River Basin
Neuse
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 +'1?77FX^� q51
Date * 09/05/2018