NCG060307_Renewal COC Request_20181129 12:47:43 PM

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NORTH CAFOLINA
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Permit COC
NCG060307
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Michele Vido
Obtaining COC*
First and LastNarra
Phone Number* 8284691332
Email * [e-mail]
The COC will be e-rrailed 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].
M aste r Ge ne ral
NCG060000
Permit No.
COC No.
NCG060307
Permittee
Target Distribution Center #3811
Facility Name
Target Corp
Address
1880 Stover Ct
City
Newton
County
Catawba
Waterbody
South Fork Catawba River
Classification
WS-V
River Basin
Catawba
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
1"e�G KWv

Date * 11 /29/2018