NCG210411_Renewal COC Request_20180910 3:23:00 PM

Environmental
Quality
Permit COC
NCG210411
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
Bonnie DePew
Obtaining COC*
First and Last Narre
Phone Number*
423-392-2821
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.
NCG210411
Permittee
Domtar Paper Company LLC
Facility Name
Domtar Paper Company, LLC -Broad River
Address
2075 Centennial Rd
City
Union Mills
County
Rutherford
Waterbody
Second Broad River
Classification
WS -V
River Basin
Broad
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 * 09/10/2018