NCG020029_Owner Affiliation Change Request_20200831

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/31/2020 10:24:42 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 9/4/2020 12:11:17 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 8/31/2020 10:24 PM

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*
NCG020029
NCS)00000(orNQG)00000(
Submittor's Name*
Rease enter your FIRST and LAST narre
Phillip Pressley
Phone Number*
Rease enter your phone nurrber
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 Pease upload the signed "Permit C,vner Affiliation Designation Forn1'
Upload* NPDES.RO.Change. EA. pdf 677.54KB
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCG020029