NCG060365_Renewal COC Request_20190322 1:15:47 PM

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NORTH CAFOLINA
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Permit COC
NCG060365
Number *
Enter the Certificate of Coverage (OOC) number, not the General Fbrmt nurrber (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Matthew Haynes
Obtaining COC*
First and LastNarre
Phone Number* 5404319210
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.
NCG060365
Permittee
Valley Proteins Inc
Facility Name
Valley Proteins, Inc. - Lewiston Division
Address
222 Griffins Quarter Rd
City
Lewiston
County
Bertie
Waterbody
ROANOKE RIVER
Classification
C
River Basin
Roanoke
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 * 03/22/2019