NCG060014_Renewal COC Request_20181127 10:12:22 AM

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Permit COC
NCG060014
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Jason Letchworth
Obtaining COC*
First and LastNarre
Phone Number* 919-723-2140
Email * [e-mail]
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 [phone] or [e-mail].
M aste r Ge ne ral
NCG060000
Permit No.
COC No.
NCG060014
Permittee
Ajinomoto Health & Nutrition North America
Inc
Facility Name
Ajinomoto Health & Nutrition North America,
Inc.
Address
4020 Ajinomoto Dr
City
Raleigh
County
Wake
Waterbody
Crabtree Creek
Classification
QNSW
River Basin
Neuse
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 *

Date * 11 /27/2018