NCG210136_Renewal COC Request_20190102 2:56:36 PM

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NORTH CAFOLINA
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Permit COC
NCG210136
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAFTTAL "NCG'
Name of Person
Jarrett Rhinehart
Obtaining COC*
First and LastNarra
Phone Number* 828-724-4191
Email * [e-mail]
The COCw ill be e-rrailed 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].
M aste r Ge ne ral
NCG210000
Permit No.
COC No.
NCG210136
Permittee
Columbia Forest Plywood Products
Facility Name
Columbia Forest Plywood Produc
Address
369 Columbia Carolina Rd
City
Old Fort
County
McDowell
Waterbody
CATAWBA RIVER
Classification
C
River Basin
Catawba
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 * 01 /02/2019