NCG060184_Renewal COC Request_20200121 11:04:39 AM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG060184
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General P n-rit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Yin-Pong George CHANG, P. E.
Obtaining COC*
First and Last Narre
Phone Number*
7046244317
Email*
[e-mail]
The COC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional enailaddress towhom tosend 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.
NCG060184
Permittee
Pilgrim's Pride Corporation
Facility Name
Pilgrim's Pride Corp - Wingate
Address
205 Edgewood Dr
City
Wingate
County
Union
Waterbody
Flag Branch
Classification
C
River Basin
Yadkin
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 *
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Date * 01 /21 /2020