NCG060102_Renewal COC Request_20200114 2:43:29 PM

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
Number*
Name of Person
Obtaining COC*
Phone Number*
NCG060102
Enter the Certificate of Coverage (COC) nun ber, not the General Permit nurrber (e.g., NOG030222 is the OOC, not
N00030000) M-ST BEGIN WTTH CARTAL "NCG'
James Greene
First and Last Nacre
9106388216
Email * [e-mail]
The COC w ill be e-nailed to this contact.
Additional Email [e-mail]
(Optional) Enter an additional errail 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

01 /14/2020