NCG030234_Owner Affiliation Change Request_20210719

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/19/2021 9:42:08 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 7/29/2021 4:39:39 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 7/19/2021 9:42 AM

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Default Page
NPDES Permit
Enter your NPIDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG030234
NCS)00000(or NCC)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Jennifer Wheat
Phone Number*
Rease enter your phone nurrber
9803227447
Any format is fine.
Email Address *
Rease enter a valid a -mail address
[e-mail]
A confirmation of submission 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 Forn'
Upload* Permit Owner Affiliation Designation Form
274.44KB
Bendel.pdf
pdt only

Initial Review
Project ID * Reviewer may revise perrrit nunber below if incorrect.
NCG030234