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HomeMy WebLinkAboutNCG030025_Renewal COC Request_20181128 8:29:37 AM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG030025 Number * Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not NCG030000) M-ST BEGIN WITH CAPITAL "NCG' Name of Person JOSEPH PEACOS III Obtaining COC* First and LastNarre Phone Number* 2526447154 Email * jpeacos@vthackney.com 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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG030000 Permit No. COC No. NCG030025 Permittee Vt Hackney Division Facility Name VT - Hackney Division Address 400 Hackney Ave City Washington County Beaufort Waterbody TAR RIVER Classification QNSW River Basin Tar -Pamlico 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 * Date * 11 /28/2018