NCG210409_Renewal COC Request_20180907 11:09:00 AM

Environmental
Quality
Permit COC
NCG210409
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Woodrow Graham
Obtaining COC*
First and Last Name
Phone Number*
843-454-8947
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.
NCG210409
Permittee
Domtar Paper Company LLC Bonsal Chip
Mill
Facility Name
Bonsal Chip Mill
Address
7634 Old US Hwy 1
City
New Hill
County
Wake
Waterbody
Buckhorn Creek (Harris Lake)
Classification
WS -V
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 *
V1Ua 11f 1 0;�4"

Date * 09/07/2018