NCS000520_Owner Affiliation Change Request_20201201

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/1/2020 6:57:46 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 12/9/2020 11:27:27 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 12/1/2020 6:57 PM

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Default Page
NPDES Permit
Enter your WDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCS000520
NCSX)0000(or NCC)00000(
Submittor's Name*
Rease enter your FIRST and LAST name
James Chandler Stroud
Phone Number*
Rease enter your phone nurrber
252-402-6044
Any format is fine.
Email Address *
Rease enter a valid e-mail address
[e-mail]
A confirmation of submission 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* Signed_NPDES-Owner-Affiliation-Change-
175.62KB
20191104-DEMLR-SW. pdf
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCS000520