NCG060143_Owner Affiliation Change Request_20210408

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/8/2021 2:04:53 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 4/15/2021 9:29:27 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 4/8/2021 2:05 PM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG060143
NCS)00000(or NCC)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Lindsay Fletcher
Phone Number*
Rease enter your phone nurrber
7132990304
Any forrrat is fine.
Email Address *
Rease enter a valid a-rrail 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 "Fbrrrit Cwner Affiliation Designation Form'
Upload* Rose Hill NPDES Owner Affiliation Change.2021.pdf 1.17MB
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCG060143