NCG060344_Renewal COC Request_20181211 4:41:54 PM

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NORTH CAFOLINA
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Permit COC
NCG060344
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
Hattie Harris
Obtaining COC*
First and LastNarra
Phone Number* 2523337606
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.
NCG060344
Permittee
Olam Edible Nuts
Facility Name
Olam Edible Nuts
Address
115 Peanut Dr
City
Edenton
County
Chowan
Waterbody
Queen Anne Creek
Classification
QNSW
River Basin
Chowan
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 * 12/11 /2018