NCG210342_Renewal COC Request_20190722 3:11:50 PM

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NORTH CAFOLINA
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Permit COC
NCG210342
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 CAFTTAL "NCG'
Name of Person
Lynn Greene
Obtaining COC*
First and LastNarra
Phone Number* 794-291-6851
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional errail 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
NCG210000
Permit No.
COC No.
NCG210342
Permittee
Edwards Wood Products Inc
Facility Name
Edwards Wood Products Inc - Old Lumberton
Rd
Address
19500 Old Lumberton Rd
City
Laurinburg
County
Scotland
Waterbody
Shoe Heel Creek (Big Shoe Heel Creek)
(Maxton Pond)
Classification
C;Sw
River Basin
Lumber
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 * 07/22/2019