NCG110106_Renewal COC Request_20180620 3:42:45 PM

JI
Environmental
Quality
Permit COC
NCG110106
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Nathan Clark
Obtaining COC*
First and Last Name
Phone Number*
828/926-0866
Email *
[e-mail]
The OOCw ill 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
NCG110000
Permit No.
COC No.
NCG110106
Permittee
Town of Maggie Valley
Facility Name
Maggie Valley WWTP
Address
U S Hwy 276 N
City
Maggie Valley
County
Haywood
Waterbody
Jonathans Creek
Classification
C;Tr
River Basin
French Broad
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 * 06/20/2018