NCG070089_Owner Affiliation Change Request 4/19/2018 10:17:17 AM_20180419

Envirnnmun tat
Quality
Default Page
NPDES Permit
Enter your WDES stornwater pernit nunber or Certificate of Coverage (00C) nunber.
Number*
NCG070089
NCS)OOWO(or NCC -,J00000(
Submittor's Name*
Reaseenter your FIRST and LAST nane
Steve Wyse
Phone Number*
Rease enter your phone nunter
423/952-4281
Any fornet is fine.
Email Address*
Rease enter a valid a-rreil address
[e-mail]
A confirmation of subxrission w ill 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 Laura Alexander at [phone] or e-mail her at laura.alexander(cDncdenr.gov.
Completed Form Reaseupload the signed "PernitCwnerAffiliation Designation Fornf
Upload * NCG070089 Owner Affiliation.pdf 542.52KB
pdb only

Initial Review
Project ID* NCG070089