NCG060366_Renewal COC Request_20181204 2:23:56 PM

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NORTH CAFOLINA
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Permit COC
NCG060366
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
Kevin Campbell
Obtaining COC*
First and LastNarre
Phone Number* 919-658-2535
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.
NCG060366
Permittee
Mt Olive Pickle Company Inc
Facility Name
Mt. Olive Pickle Company Distribution Center
Warehouse
Address
1301 N Center St
City
Mount Olive
County
Wayne
Waterbody
Northeast Cape Fear River
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 * 12/04/2018