NCG030166_Owner Affiliation Change Request_20210203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/3/2021 2:26:21 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 2/4/2021 8:48:28 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 2/3/2021 2:26 PM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG030166
NCS)00000(or NCC)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Doug Simmons
Phone Number*
Rease enter your phone nurrber
704-736-2783
Any format is fine.
Email Address *
Rease enter a valid e-rmil 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 Cwner Affiliation Designation Forn1'
Upload* Timken Lincolnton Bearing Plant SWU-
OWNERAFFIL 02032021 change in person 65.85KB
responsible.pdf
pdf only

Initial Review
Project ID * Peviewer rmy revise perrrit nunber below if incorrect.
NCG030166