NCS000315_Owner Affiliation Change Request_20201111

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/11/2020 5:57:02 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 11/12/2020 2:21:28 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 11/11/2020 5:57 PM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCS000315
NCS)00000(or NCC)00000(
Submittor's Name*
Please enter your FIRST and LAST narre
Christina Harris
Phone Number*
Rease enter your phone nurrber
281-297-5228
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 "FbrrritC,vnerAffiliation Designation Forn1'
Upload* NPDES-Owner-Affiliation-Change-20191104-
671.92KB
DEMLR-SW.pdf
pdr only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCS000315