NCG210288_Renewal COC Request_20181017 10:32:00 AM

JI
Environmental
Quality
Permit COC
NCG210288
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
COC No.
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Brian Van Gelder
Obtaining COC*
First and Last Narre
Phone Number* 803-385-4957
Email * [e-mail]
The OOCw ill be e-mailed to this contact.
Additional Email (Optional) Enter an additional enail 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].
M aste r Ge ne ral
NCG210000
Permit No.
COC No.
NCG210288
Permittee
Boise Cascade Wood Products L L C
Facility Name
Ro>boro Engineered Lumber Facility
Address
1000 N Park Dr
City
Ro>boro
County
Person
Waterbody
Mitchell Creek and Fishing Creek
Classification
C
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 * 10/17/2018