NCG210273_Renewal COC Request_20180910 1:27:00 PM

JI
Environmental
Quality
Permit COC
NCG210273
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
James R Lemly
Obtaining COC*
First and Last Name
Phone Number*
3369823070
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
NCG210000
Permit No.
COC No.
NCG210273
Permittee
L & E Lumber Company Inc
Facility Name
L & E Lumber Cc Incorporated
Address
260 Huckleberry Ridge Rid
City
Crumpler
County
Ashe
Waterbody
Indian Creek
Classification
WS-II;HQW
River Basin
Catawba
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 *
07 -voe&w'�'
Date * 09/10/2018