NCG210450_Renewal COC Request_20180905 3:18:56 PM

Environmental
Quality
Permit COC
NCG210450
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
WILLIAM SIMON
Obtaining COC*
First and Last Narre
Phone Number*
9197174933
Email *
[e-mail]
The COCwill be e -n -ailed 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.
NCG210450
Permittee
Enviva Pellets Sampson LLC
Facility Name
Enviva Pellets Sampson, LLC
Address
5 Connector Rd Us117
City
Faison
County
Sampson
Waterbody
Panther Creek
Classification
C;Sw
River Basin
Cape Fear
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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Date * 09/05/2018