NCG060047_Renewal COC Request_20181127 2:30:43 PM

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NORTH CAFOLINA
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Permit COC
NCG060047
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 CAPRAL "NCG'
Name of Person
Terry Crawford
Obtaining COC*
First and LastNarre
Phone Number* 910-223-6606
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.
NCG060047
Permittee
Cargill Inc
Facility Name
Fayetteville Plant
Address
1579 Underwood Rd
City
Fayetteville
County
Cumberland
Waterbody
CAPE FEAR RIVER and Locks 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 *
ta,
Date * 11 /27/2018