NCG070133_Renewal COC Request_20180724 2:12:21 PM

JI
Environmental
Quality
Permit COC
NCG070133
Number *
Enter the Certificate of Coverage (COC) number, not the General Pernit number (e.g., NOG030222 is the OOC, not
NOM30000) MUST BEGIN WITH CARTAL "NO3'
Name of Person
Doug Niemond
Obtaining COC*
First and Last Name
Phone Number*
9105906137
Email *
[e-mail]
The OOC will be e-mailed 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].
Master General
NCG070000
Permit No.
COC No.
NCG070133
Permittee
Hog Slat Inc
Facility Name
Clinton Plant
Address
1451 Turkey Hwy
City
Clinton
County
Sampson
Waterbody
Rowans Branch (Chestnut Pond)
Classification
C;Sw
River Basin
Cape Fear
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
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 *
P0VC- WliiWA P
Date * 07/24/2018