NCG060338 NPDES SW Permit Contacts Report_20191205

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the followin! contact information in our Permit Database for vour permit as of 12/5/2019.
Permit Number:
NCG060338
Permit Type:
Food/Tobacco/Soaps/Cosmetics/Public Warehousing Stormwater Discharge COC
Facility Name:
Shed
Facility Addressl:
2434 Hwy 403 50
Facility Address2:
City, State & Zip:
Faison, NC 28341
Owner Information Details:
MUST submit a Change of
Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"Form)
Owner Name:
Southern Produce LLC
Owner Type:
Non -Government
Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor,
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation:
Heath Johnsev
Title:
Addressl:
PO Box 729
Address2:
City, State & Zip:
Faison, NC 28341
Work Phone:
910-267-0011
Fax:
Email Address:
heath Ccbsouthern-produce.com
*** Permit Annual Fee Billing ***
Billing Month:
October
Invoice Number
Invoice Date
Invoice Due Date Invoice Amount Invoice Status
2019PR008750
9/5/2019
10/5/2019 $100.00 Overdue
Owner Contact
Person(s)
Contact Name
Title
Address Phone Fax
Email
Facility Contact Person(s)
Contact Name
Title
Address Phone Fax
Email
Richard Cameron
2434 Hwy 403 50, Faison, NC 28341 910-267-0011 910-267-1455
Permit Contact Person(s)
Contact Name
Title
Address Phone Fax
Email
Permit Billing Contact
Contact Name
Title
Address Phone Fax
Email
Richard Cameron
2434 Hwy 403 50, Faison, NC 28341 910-267-0011 910-267-1455
12/5/2019 Page 1