NCG210171_Renewal COC Request_20180908

Environmental
Quality
Permit COC
NCG210171
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
Leonard Cook
Obtaining COC*
First and Last Name
Phone Number*
[phone]
Email *
[e-mail]
The COCwill be e-rreiled 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.
NCG210171
Permittee
Cook Brothers Lumber Co Inc
Facility Name
Cook Brothers Lumber Co Incorporated
Address
85 Peaceful Cove Rd
City
Franklin
County
Macon
Waterbody
Cullasaja River
Classification
B;Tr
River Basin
Little Tennessee
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 * 09/08/2018