NCG070133_Renewal COC Request_20190404 9:22:00 AM

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NORTH CAFOLINA
Emlre -.1 Qd Wy
Permit COC
NCG070133
Number *
Enter the Certificate of Coverage (GOC) number, not the General Fbrmt nurrber (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 (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
NCG070000
Permit No.
COC No.
NCG070133
Permittee
Hog Slat Inc
Facility Name
Clinton Plant
Address
1451 Turkey Hwy
City
Clinton
County
Sampson
Waterbody
Rowans Branch (Chestnut Pond)
Classification
C;Sw
River Basin
Cape Fear
RENEWAL STATUS
Active
Issuance Date*
05/31/2018
Effective Date
06/01/2018
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 *
POUF, /rll1115 AV
Date * 04/04/2019