NCG020009_Owner Affiliation Change Request_20200831

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/31/2020 8:49:28 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 9/4/2020 9:24:08 AM (Notification to Admin)
* Facility name in our systems shows as Chapel Hill Quarry, not American Stone. If Facility name has
changed, please submit form.
• The task was assigned to McCoy, Suzanne 8/31/2020 8:49 PM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG020009
NCS)00000(orNQG)00000(
Submittor's Name*
Rease enter your FIRST and LAST narre
Phillip Pressley
Phone Number*
Reaseenter your phone nunber
9197834505
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 "Rernit Cwner Affiliation Designation Forn1'
Upload* NPDES.Ownership.Change.AS.pdf 676.89KB
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCG020009