NCG190048_Owner Affiliation Change Request_20210825

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/25/2021 9:24:14 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 9/3/2021 11:20:44 AM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 8/25/2021 9:24 AM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCG190048
NCS)00000(orNCG)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Craig Tompkins
Phone Number*
Reaseenter your phone nunber
5612714868
Any format 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 Reaseupload the signed "FbrnitCwnerAffiliation Designation Fornl'
Upload* NC Stormwater Permit Contact.pdf 504.44KB
pdf only

Initial Review
Project ID * Peviewer rmy revise perrrit nunber below if incorrect.
NCG190048