NCG110093_Renewal COC Request_20180622 4:38:27 PM

JI
Environmental
Quality
Permit COC
NCG110093
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NCG030000) MUST BEGIN WTTH CARTAL "NO3'
Name of Person
Laura Vanhoy
Obtaining COC*
First and Last Narre
Phone Number*
[phone]
Email *
Ilvanhoy@le)angtonnc.gov
The COCwill be e -n -ailed to this contact.
Additional Email
jcshaffer@le>angtonnc.gov
(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
NCG110000
Permit No.
COC No.
NCG110093
Permittee
City of Lexington
Facility Name
Lexington Regional WWTP
Address
500 Glendale Rd
City
Lexington
County
Davidson
Waterbody
Abbotts Creek Arm of High Rock Lake
Classification
WS-V,B
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 Stormwater Permit records.
Signature *
Date * 06/22/2018