NCG070064_Renewal COC Request_20180622 12:29:40 PM

JI
Environmental
Quality
Permit COC
NCG070064
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Lonniesha Hart
Obtaining COC*
First and Last Narre
Phone Number*
3367647206
Email *
[e-mail]
The OOC will be e-mailed 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].
Master General
NCG070000
Permit No.
COC No.
NCG070064
Permittee
Owens - Brockway Glass Container Inc
Facility Name
Owens - Brockway Glass Container Inc -
Lexington
Address
9698 Old US Hwy 52
City
Lexington
County
Davidson
Waterbody
Leonard Creek
Classification
WS -III
River Basin
Yadkin
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
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 Storni Permit records.
Signature *
WNk"

Date * 06/22/2018