NCG060126_Renewal COC Request_20181207 3:07:53 PM

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NORTH CAFOLINA
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Permit COC
NCG060126
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAFTTAL "NCG'
Name of Person
Robert Harris
Obtaining COC*
First and LastNarre
Phone Number* 757-613-1339
Email * [e-mail]
The COC will be e-rrailed 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].
M aste r Ge ne ral NCG060000
Permit No.
COC No.
NCG060126
Permittee
Smithfield Fresh Meats Corp
Facility Name
Smithfield Fresh Meats Corp. RLAP
Address
15855 INC 87 W
City
Tar Heel
County
Bladen
Waterbody
CAPE FEAR RIVER and Goodman Swamp
Classification
C and C;Sw
River Basin
Cape Fear and Lumber
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 * 12/07/2018