NCG060189_Renewal COC Request_20181203 9:59:33 AM

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NORTH CAFOLINA
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Permit COC
NCG060189
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
Neal Powell
Obtaining COC*
First and LastNarre
Phone Number* 704-754-0970
Email* [e-mail]
The GOCwill be e-rrailed to this contact.
Additional Email (Optional) Enter an additional errail address to whom to send the GOC
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.
NCG060189
Permittee
Perdue Agri Business LLC
Facility Name
Perdue Farms Incorporated- Cabarrus
Address
862 Harris St
City
Concord
County
Cabarrus
Waterbody
Irish Buffalo Creek
Classification
C
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 *
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Date * 12/03/2018