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HomeMy WebLinkAboutNCG030056_Owner Affiliation Change Request_20200801Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 8/1/2020 10:08:04 AM (Owner Affiliation Change Submission) Approve by McCoy, Suzanne 8/12/2020 3:39:09 PM (Notification to Admin) • The task was assigned to McCoy, Suzanne 8/1/2020 10:08 AM 1 S �i. mnvV�� NORTH CARCLINA Emlmnm MI Quat<ty Default Page NPDES Permit Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber. Number* NCG030056 NCS)00000(or NCGX)0000C Submittor's Name* Reaseenter your FIRST and LAST narre John Burke Phone Number* Rease enter your phone nurrber 3363372746 Any format is fine. Email Address * Rease enter a valid e-rmil address john.burke@gilbarco.com 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 (919) 707-3641 or e-mail her at.bethany.georgouliasencdenr.gov. Completed Form Reaseupload the signed "FbrrritOwner Affiliation Designation Forn1' Upload* New Owner Affiliation 8-1-20.pdf 1.17MB pdr only Initial Review Project ID * Peviewer rmy revise perrrit nunber below if incorrect. NCG030056