NCG120047_Owner Affiliation Change Request_20210602

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/2/2021 3:46:16 PM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 6/10/2021 8:44:45 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 6/2/2021 3:46 PM

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Default Page
NPDES Permit
Enter your NPD6 storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG120047
NCS)00000(or NCC)00000(
Submittor's Name*
Please enter your FIRST and LAST narre
Lea Phillips
Phone Number*
Reaseenter your phone nurrber
6027985464
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 Rease upload the signed "Permit Owner Affiliation Designation Forn1'
Upload* Haywood County White Oak Change of Owner
66.2KB
Affiliation Signed 6.2.21.pdf
pdt ony

Initial Review
Project ID * Peviewer rmy revise perrrit nunber below if incorrect.
NCG120047