HomeMy WebLinkAboutNCG210134_Owner Affiliation Change Request_4/9/2020Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/9/2020 10:46:24 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 4/14/2020 7:51:57 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 4/9/2020 10:46 AM
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NPDES Permit Enter your NPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number* NCG210134
NCS)00000(or NCC)00000(
Submittor's Name* Reaseenter your FIRST and LAST narre
LAWRENCE N THOMPSON IV
Phone Number* Rease enter your phone nurrber
828-586-4044
Any format is fine.
Email Address * Rease enter a valid a -mail address
Inthompson326@gmail.com
A confirmation of submssion 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 (919) 707-3641 or e-mail her at.bethany.georgouliasencdenr.gov.
Completed Form Reaseupload the signed "FbrrritOwner Affiliation Designation Forn1'
Upload* 20200409104657618.pdf 314.15KB
20200409104809338.pdf 437.61KB
pdt ony
Initial Review
Project ID * Peviewer rmy revise perrrit nunber below if incorrect.
NCG210134