NCS000540_Owner Affiliation Change Request_20201008

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/8/2020 11:39:32 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 10/9/2020 12:14:36 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 10/8/2020 11:39 AM

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Default Page
NPDES Permit
Enter your NPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCS000540
NCS)00000(or NCC)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Marissa Meltzer
Phone Number*
Reaseenter your phone nurrber
704-799-4195
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 Reaseupload the signed "FbrrritCwnerAffiliation Designation Forn1'
Upload* ToM_NPDES_PermitOwnerAffiliation.pdf 665.53KB
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCS000540