NCG080908_Renewal COC Request_20190114 12:48:36 PM

'rl n
NORTH CAFOLINA
Emlre -.1 Qd Wy
Permit COC
NCG080908
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Toni Scott
Obtaining COC*
First and LastNarra
Phone Number* 9373821494
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional email address to whom to send the CDC
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
NCG080000
Permit No.
COC No.
NCG080908
Permittee
Greenwood Motor Lines Inc
Facility Name
R+L Carriers - LUM
Address
2630 E 5th St
City
Lumberton
County
Robeson
Waterbody
Jacob Swamp (Warwick Millpond, Carolina
Power and Light Company Cooling Lake)
Classification
C;Sw
River Basin
Lumber
RENEWAL STATUS
Active
Issuance Date *
10/29/2018
Effective Date
11/01/2018
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 * 01/14/2019