NCS000530_Owner Affiliation Change Request_20210318

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/18/2021 1:58:55 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 3/19/2021 11:47:54 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 3/18/2021 1:59 PM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCS000530
NCS)00000(orNCG)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Byron Lawrence
Phone Number*
Reaseenter your phone number
8019446555
Any format is fine.
Email Address *
Rease enter a valid a -mail address
Byron [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 "FbrmitCWnerAffiliation Designation Forn1'
Upload* Signed - NPDES-Owner-Affiliation-Change-
347.96KB
20191104-DEMLR-SW. pdf
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCS000530