NCG210078_Renewal COC Request_20180905 8:27:08 AM

JI
Environmental
Quality
Permit COC
NCG210078
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
Jonathan Garner
Obtaining COC*
First and Last Narre
Phone Number* 252-589-8210
Email * [e-mail]
The COCwill 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.
NCG210078
Permittee
West Fraser Corporation
Facility Name
Seaboard Lumber Mill
Address
4400 INC Hwy 186
City
Seaboard
County
Northampton
Waterbody
Cypress Creek (Jordans Millpond)
Classification
QNSW
River Basin
Chowan
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 * 09/05/2018