NCG190054_Owner Affiliation Change Request_20200817

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/17/2020 10:08:03 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 8/18/2020 2:24:02 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 8/17/2020 10:08 AM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG190054
NCS)00000(orNQG)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Ron James
Phone Number*
Rease enter your phone nurrber
252-214-4192
Any format is fine.
Email Address *
Rease enter a valid e-rrail address
[e-mail]
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 "Permit Owner Affiliation Designation Forn1'
Upload* Permit contact change.pdf 112.49KB
pdF only

Initial Review
Project ID * Peviewer rmy revise perrrit nunber below if incorrect.
NCG190054