NCG170412_Renewal COC Request_20191115 2:05:06 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG170412
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Eddie Atkinson
Obtaining COC*
First and Last Name
Phone Number*
828-893-4130
Email *
[e-mail]
The COC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the OOC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
Master General
NCG170000
Permit No.
COC No.
NCG170412
Permittee
Valdese Weavers Inc
Facility Name
Valdese Weavers, Inc. (Circa Plant)
Address
One Jaquard Dr
City
Connelly Spg
County
Burke
Waterbody
Drowning Creek
Classification
WS-IV
River Basin
Catawba
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 * 11 /15/2019