NCG210185_Renewal COC Request_20180904 5:28:54 PM

Environmental
Quality
Permit COC
NCG210185
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
Facility Name
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Michael Lancaster
Obtaining COC*
First and Last Narre
Phone Number* 2523570050
Email * [e-mail]
The COCwill be e -trailed to this contact.
Additional Email (Optional) Enter an additional enail 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.
NCG210185
Permittee
Ashton Lewis Lumber Company
Facility Name
Ashton Lewis Lumber Company
Address
96 Lewis Mill Rd
City
Gatesville
County
Gates
Waterbody
Bennetts Creek (Merchants Millpond)
Classification
QNSW
River Basin
Chowan
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 * 09/04/2018