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HomeMy WebLinkAboutNCG060257_Renewal COC Request_20181127 11:54:44 AM'rl n NORTH CAFOLINA Emlre -.1 Qd Wy Permit COC NCG060257 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 Lisa Withrow Obtaining COC* First and LastNarra Phone Number* 336-683-5685 Email * Icwithrow@postholdings.com 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 (919) 707-3641 or bethany.georgoulias@ncdenr.gov. M aste r Ge ne ral NCG060000 Permit No. COC No. NCG060257 Permittee Mom Brands Facility Name Mom Brands Address 2525 Bank St City Asheboro County Randolph Waterbody Haskett Creek Classification C 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 * &W,?-wwmv Date * 11 /27/2018