NCG030642_Owner Affiliation Change Request_20210217

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/17/2021 8:57:22 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 2/18/2021 10:31:25 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 2/17/2021 8:57 AM

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Default Page
NPDES Permit
Enter your NPIDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG030642
NCS)00000(or NCC)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Zachary Woods
Phone Number*
Rease enter your phone nurrber
8288554360
Any format is fine.
Email Address *
Rease enter a valid a-rrail address
[e-mail]
A confirmation of submission will be e-rrailed 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 Reaseupload the signed "FbrrritOwner Affiliation Designation Forn'
Upload* Permit Owner Affiliation Designation Form.pdf 426.26KB
pdf only

Initial Review
Project ID * Peviewer rmy revise perrrit nunber below if incorrect.
NCG030642