NCG060102_Renewal COC Request_20181128 8:54:57 AM

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NORTH CAFOLINA
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Permit COC
NCG060102
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
James Greene
Obtaining COC*
First and LastNarre
Phone Number* 910-673-4148
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.
NCG060102
Permittee
Perdue Agri Business LLC
Facility Name
Candor Feed Mill
Address
NC Hwy 211 E
City
Eagle Springs
County
Moore
Waterbody
Drowning Creek
Classification
WS-II;Sw,HQW
River Basin
Lumber
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 /28/2018