NCG180034_Owner Affiliation Change Request_20210331

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/31/2021 5:00:06 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 4/15/2021 8:46:44 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 3/31/2021 5:00 PM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG180034
NCS)00000(or NCC)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Sonya Cato
Phone Number*
Rease enter your phone nurrber
919-980-1512
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-
56.54KB
DEMLR-SW NCG180034_signed.pdf
pdt only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCG180034