NCG060299_Renewal COC Request_20181126 1:31:40 PM

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NORTH CAFOLINA
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Permit COC
NCG060299
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 CAFTTAL "NCG'
Name of Person
Robert Hicks
Obtaining COC*
First and LastNarra
Phone Number* 2529043946
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email [e-mail]
(Optional) Enter an additional email 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 [phone] or [e-mail].
M aste r Ge ne ral
NCG060000
Permit No.
COC No.
NCG060299
Permittee
Alliance One International Inc
Facility Name
Alliance One International Inc, CRIES
Tobacco Co., Inc.
Address
3000 Big Oaks Dr
City
King
County
Forsyth
Waterbody
Crooked Run Creek
Classification
WS-IV
River Basin
Yadkin
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 * 11 /26/2018