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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 1 S �i. mnvV�� NORTH CARCLINA Emlmnm MI Quat<ty Default Page 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