New Submission

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Please check your Certificate of Coverage (COC). It appears you entered the General Permit number instead of your permit number.

The information below is auto-filled after the permit number is entered and you click outside the box:

Permittee*

Facility Name*

County*

Check permit contact information for your permit by running a Stormwater Permit Summary Report.

Guidance for COC holders: Do not enter the General Permit number with all 0's (for example, NCG030000) but instead your Certificate of Coverge (COC) number.

Check all that apply:*

Owner Affiliation (Legally Responsible Individual) UpdatePermit Ownership Transfer or Facility Name ChangeDelegation of Signature Authority (DOSA)Permit Contact UpdateBilling Contact UpdateFacility Contact UpdateOther Contact Update

STOP! Go to the Permit Name/Ownership Change Form instead. This form cannot be used to transfer ownership or update company and/or facility name.

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Unable to submit this form

Owner Affiliation (Legally Responsible Individual) Change

Upload a copy of the completed and signed Permit Owner Affiliation Designation Form below. We can begin making updates with this submittal, but please note that you must mail in the original signed copy to our office, in accordance with requirements in 40 CFR 122.22.

Staff may contact you to confirm the requested change if this Owner is also associated with other permits in our system. Changes to Owner Affiliation affect all permits tied to that Owner.

Owner Affiliation Change Form Upload*

Please upload the signed "Permit Owner Affiliation Designation Form"

Drop files here

pdf only

Permit Contact Update

Provide new permit contact information

*field type radio button
This person should REPLACE the current permit contact.This person should just be added as another permit contact.
New Contact Name*field type single line
First and Last Name
Input blocked. Maximum character limit of 4000 characters reached.
E-mail Address*field type email
Phone No.*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Mailing Address*field type multi line
Physical Addressfield type multi line
If different than mailing address

Add another permit contact if needed by clicking the 'Add' button belowAdd

Billing Contact Update

Provide new billing contact information

Note: This person will REPLACE the current billing contact. We can only designate one billing contact in our permitting database.
New Contact Name*field type single line
First and Last Name
Input blocked. Maximum character limit of 4000 characters reached.
E-mail Address*field type email
Phone No.*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Mailing Address*field type multi line
Physical Addressfield type multi line
If different than mailing address

Facility Contact Update

Provide new facility contact information

*field type radio button
This person should REPLACE the current facility contact.This person should just be added as another facility contact.
New Contact Name*field type single line
First and Last Name
Input blocked. Maximum character limit of 4000 characters reached.
E-mail Address*field type email
Phone No.*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Mailing Address*field type multi line
Physical Addressfield type multi line
If different than mailing address

Add another facility contact if needed by clicking the 'Add' button belowAdd

Person(s) with Delegation of Signature Authority (DOSA)

Complete and sign this Stormwater Permit Delegation of Signature Authority Form. Then upload it below. We can begin making updates with this submittal, but please note that you must mail in the original signed copy to our office in accordance with requirements in 40 CFR 122.22.

Mail the hard copy to: DEMLR Stormwater Program (Attn: Stormwater Program Administrative Specialist), 1612 MSC, Raleigh, NC 27699-1612
Delegation of Signature Authority*field type file upload
Please upload the signed "Stormwater Permit Delegation of Signature Authority Form"
Drop files here
You have reached the maximum file limit: .
pdf only

Other Contact Updates

Only use this section if none of the categories above apply.

Provide details about another contact update:*field type multi line

Submitter's Name*

Please enter your FIRST and LAST name

Phone Number*

Please enter your phone numberAny format is fine.

Email Address*

Please enter a valid e-mail addressA confirmation of submission will be e-mailed to this address.

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By checking the box and signing below, I certify that:

I have given true, accurate, and complete information on this form;

I agree that submission of this form is a “transaction” subject to Chapter 66, Article 40 of the NC General Statutes (the “Uniform Electronic Transactions Act”);

I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the “Uniform Electronic Transactions Act”);

I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature (except for any uploaded Owner Affiliation Change or Delegation of Signature of Authority forms, which also must be mailed in with original signature); AND

I intend to electronically sign and submit this Permit Contact Update Request form.

Signature*

Date

Date will be captured on form submission

Questions? Contact bethany.georgoulias@deq.nc.gov.

NPDES Stormwater Permit Contact Update Request