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HomeMy WebLinkAboutNCG060241_Renewal COC Request_20181127 2:50:03 PM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG060241 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 Vincent J Fallon Obtaining COC* First and LastNarre Phone Number* 919-304-7793 Email * vjfallon@liggettgroup.com The COC will be e-rrailed to this contact. Additional Email jack@leafenviro.com (Optional) Enter an additional erreil 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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG060000 Permit No. COC No. NCG060241 Permittee Liggett Group LLC Facility Name Liggett Group LLC Address 100 Maple Ln City Mebane County Alamance Waterbody Back Creek Classification WS-II;HQW,NSW 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 * (art �� Date * 11 /27/2018