NCG020628_Owner Affiliation Change Request_20200825

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/25/2020 9:42:37 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 8/28/2020 12:24:59 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 8/25/2020 9:43 AM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG020628
NCS)00000(or NCC)00000(
Submittor's Name*
Please enter your FIRST and LAST narre
John Fearrington
Phone Number*
Rease enter your phone nurrber
9199800515
Any format is fine.
Email Address *
Rease enter a valid a -mail 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 CWner Affiliation Designation Forn1'
Upload* NC Permit Owner Update.pdf 261.24KB
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCG020628