NCG080026_Renewal COC Request_20200104 3:17:01 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG080026
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Permit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Todd Kneller
Obtaining COC*
First and Last Name
Phone Number* 919-588-3633
Email * [e-mail]
The COC w ill be e-nailed to this contact.
Additional Email [e-mail]
(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
NCG080000
Permit No.
COC No.
NCGO80026
Permittee
Wake County Public School System
Facility Name
Wake Co Boe-Public School Sery
Address
1551 Raock Quarry Rd
City
Raleigh
County
Wake
Waterbody
Walnut Creek
Classification
C;NSW
River Basin
Neuse
RENEWAL STATUS
Active
Issuance Date*
10/29/2018
Effective Date
11/01/2018
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 *
06-- 'rA•n� �?01?

Date * 01 /04/2020