NCG210271_Renewal COC Request_20180912 10:14:00 AM

Envirnnmun tat
Quality
Permit COC
NCG210271
Number *
Enter the Certificate of Coverage (COC) number, not the General Permit number (e.g., N0G030222 is the OCC, not
N0W30000) MJST BEGIN WTTH CAPRAL "NO3'
Name of Person
Danette Arrants
Obtaining COC*
First and Last Nbrre
Phone Number*
2527921889
Email*
[e-mail]
The COCwill be e-mailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the OOC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
M aste r Ge ne ral
NCG210000
Permit No.
COC No.
NCG210271
Permittee
Arrants Logging Inc
Facility Name
Arrants Logging Incorporated
Address
Sandhill Rd
City
Plymouth
County
Washington
Waterbody
Welch Creek
Classification
C;Sw
River Basin
Roanoke
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 * 09/12/2018