NCG210146_Renewal COC Request_20180905 2:47:44 PM

JI
Environmental
Quality
Permit COC
NCG210146
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NOW30000) KWT BEGIN WITH CARTAL "NO3'
Name of Person
John Maultsby
Obtaining COC*
First and Last Name
Phone Number* 8509482211
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.
NCG210146
Permittee
North Carolina Plywood LLC
Facility Name
North Carolina Plywood LLC
Address
PO Box 722
City
Whiteville
County
Columbus
Waterbody
White Marsh
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 Stormwater Permit records.
Signature *
Date * 09/05/2018