NCG020718_Owner Affiliation Change Request_20210223

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/23/2021 11:57:29 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 3/4/2021 11:34:23 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 2/23/2021 11:57 AM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG020718
NCS)00000(orNCG)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Junius D. Grimes
Phone Number*
Rease enter your phone nurrber
828-230-5321
Any format is fine.
Email Address *
Rease enter a valid a -mail address
[e-mail]
A confirmation of submission will be e-rrailed 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 "Fbrmit CWner Affiliation Designation Forn1'
Upload* WaterQuality Permit Change.pdf 494.33KB
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCG020718