NCS000360_Owner Affiliation Change Request_4/27/2020

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/27/2020 10:18:54 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 4/27/2020 12:43:48 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 4/27/2020 10:19 AM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCS000360
NCS)00000(or NCC)00000(
Submittor's Name*
Rease enter your FIRST and LAST narre
Bill Steinmetz
Phone Number*
Reaseenter your phone nunber
984-287-3396
Any format is fine.
Email Address *
Rease enter a valid a-rrail address
steinme1 @niehs.nih.gov
A confirmation of submssion will be e-mailed 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 Rease upload the signed "Rarnit C,vner Affiliation Designation Forn1'
Upload* NIEHS NPDES-Owner-Affiliation-Change-
288.34KB
NCS000360-DEMLR-SWAp r2020. pdf
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCS000360