NCG030310_Renewal COC Request_20190225 4:23:56 PM

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NORTH CAFOLINA
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Permit COC
NCG030310
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 CAPITAL "NCG'
Name of Person
Doug Niemond
Obtaining COC*
First and LastNarre
Phone Number* 9105906137
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 NCG030000
Permit No.
COC No.
NCG030310
Permittee
Hog Slat Inc
Facility Name
Hog Slat Inc -Newton Grove Site
Address
Hwy 701 S
City
Newton Grove
County
Sampson
Waterbody
Beaverdam Swamp
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 * 02/25/2019