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HomeMy WebLinkAboutNCG060309_Renewal COC Request_20190207 3:04:02 PM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG060309 Number * Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not NCG030000) M-ST BEGIN WTH CAPRAL "NCG' Name of Person Travis Williams Obtaining COC* First and LastNarra Phone Number* 8286154649 Email * travis.williams@tyson.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 NCG060000 Permit No. COC No. NCG060309 Permittee Advancepierre Foods Facility Name AdvancePierre Foods Address 3437 E Main St City Claremont County Catawba Waterbody Lyle Creek Classification WS-IV 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 T l 99" Date * 02/07/2019