NCG060139_Renewal COC Request_20181207 3:09:56 PM

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NORTH CAFOLINA
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Permit COC
NCG060139
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 LastNarra
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.
NCG060139
Permittee
Smithfield Fresh Meat Corporation
Facility Name
Smithfield Fresh Meats Corp - Clinton
Address
424 E Railroad St
City
Clinton
County
Sampson
Waterbody
Cat Tail Branch and Rowans Branch
(Chestnut Pond)
Classification
C;Sw
River Basin
Cape Fear
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 * 12/07/2018