NCG060309_Renewal COC Request_20190207 3:04:02 PM

'rl n
NORTH CAFOLINA
Emlre -.1 Qd Wy
Permit COC
NCG060309
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTH CAPRAL "NCG'
Name of Person
Travis Williams
Obtaining COC*
First and LastNarra
Phone Number* 8286154649
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. NCG060309
Permittee Advancepierre Foods
Facility Name AdvancePierre Foods
Address 3437 E Main St
City Claremont
County Catawba
Waterbody Lyle Creek
Classification WS-IV
River Basin Catawba
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
T l 99"
Date * 02/07/2019