NCG210095_Renewal COC Request_20180910

JI
Environmental
Quality
Permit COC
NCG210095
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
Mitchell Powell
Obtaining COC*
First and Last Name
Phone Number*
828-926-0848
Email *
[e-mail]
The OOC will 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.
NCG210095
Permittee
Powell Industries Inc
Facility Name
Powell Lumber & Kiln Cc Incorporated
Address
1011 Bryson Walk
City
Bryson City
County
Swain
Waterbody
Tuckasegee River
Classification
WS-III,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 *
( r'A-W/ d/.err
Date * 09/10/2018