NCS000107_Owner Affiliation Change Request_20201109

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/9/2020 12:31:59 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 11/10/2020 8:48:39 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 11/9/2020 12:32 PM

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Default Page
NPDES Permit
Enter your WDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCS000107
NCSXX)000(or NQG)00000(
Submittor's Name*
Rease enter your FIRST and LAST name
LaBarron O. McMillian
Phone Number*
Reaseenter your phone nurrber
337-378-0965 e)t 115
Any format is fine.
Email Address *
Rease enter a valid e-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 Owner Affiliation Designation Forn1'
Upload* SW permit Designation form.pdf 51.97KB
pdr only

Initial Review
Project ID * Fbviewer rray revise permt nunber below if incorrect.
NCS000107