NCG160143_Renewal COC Request_20191022 10:09:04 AM

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Permit COC
NCG160143
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAFTTAL "NCG'
Name of Person
Eduardo Valdivieso
Obtaining COC*
First and LastNarra
Phone Number* 2522613336
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email (Optional) Enter an additional email 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].
Master General NCG160000
Permit No.
COC No.
NCG160143
Permittee
Rpc Contracting Inc
Facility Name
RPC Contracting Inc - Kitty Hawk
Address
934 W Kitty Hawk Rd
City
Kitty Hawk
County
Dare
Waterbody
Duck Pond Creek
Classification
SC
River Basin
Pasquotank
RENEWAL STATUS
Active
Issuance Date*
08/01/2019
Effective Date
08/01/2019
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 * 10/22/2019