NCS000292_Owner Affiliation Change Request_20201222

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/22/2020 3:17:10 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 12/31/2020 1:03:22 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 12/22/2020 3:17 PM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCS000292
NCS)00000(or NCC)00000(
Submittor's Name*
Rease enter your FIRST and LAST narre
Bill Lewis
Phone Number*
Reaseenter your phone nunber
[phone]
Any format is fine.
Email Address *
Rease enter a valid a -mail address
[e-mail]
A confirmation of submssion will be e-mailed to this address.
Need a copy of the Permit Owner Affiliation Designation Form? You must upload a signed copy of that form below.
Questions? Call Bethany Georgoulias at [phone] or e-mail her at.bethany.georgouliasencdenr.gov.
Completed Form Rease upload the signed "Rarnit Cwner Affiliation Designation Forn1'
Upload* NC DEQ Letter Permit Owner Affiliation
2.83MB
Designation.pdf
pdt only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCS000292