NCG060369_Renewal COC Request_20181214 2:47:51 PM

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NORTH CAFOLINA
Emlre -.1 Qd Wy
Permit COC
NCG060369
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Bob Billingsley
Obtaining COC*
First and LastNarre
Phone Number* 601-649-4030
Email* [e-mail]
The COC will be e-rrailed to this contact.
Additional Email [e-mail]
(Optional) Enter an additional email address to whom to send the COC
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.
NCG060369
Permittee
Sanderson Farms Inc - Processing Division
Facility Name
Sanderson Farms - St. Pauls Facility
Address
2076 NC Hwy 20 W
City
Saint Pauls
County
Robeson
Waterbody
Black Branch and Gum Branch
Classification
C;Sw
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 *
44

Date * 12/14/2018