NCG170176_Renewal COC Request_20200110 1:41:59 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG170176
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
Lisa Haynes
Obtaining COC*
First and Last Narre
Phone Number*
336-348-6516
Email *
[e-mail]
The CDC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional email address towhom tosend the CDC
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.
NCG170176
Permittee
Unifi Inc
Facility Name
Unifi Incorporated -Reidsville
Address
2920 Vance St
City
Reidsville
County
Rockingham
Waterbody
Little Troublesome Creek
Classification
WS-V;NSW
River Basin
Cape Fear
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 * 01 /10/2020