NCG110072_Renewal COC Request_20180709 12:18:46 PM

JI
Environmental
Quality
Permit COC
NCG110072
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOW30000) KWT BEGIN WTTH CARTAL "NO3'
Name of Person
Joe McNeely
Obtaining COC*
First and Last Name
Phone Number*
8288792131
Email *
[e-mail]
The COCwill 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.
NCG110072
Permittee
Town of Valdese
Facility Name
Lake Rhodhiss WWTP
Address
2100 Lake Rhodhiss Dr
City
Valdese
County
Burke
Waterbody
CATAWBA RIVER (Rhodhiss Lake below
elevation 995)
Classification
WS-IV,B;CA
River Basin
Catawba
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
I 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
Jot NV4

Date * 07/09/2018