NCG060284_Owner Affiliation Change Request_20220117

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/17/2022 11:01:10 AM (Owner Affiliation Change Submission)
Approve by Georgoulias, Bethany A 1/20/2022 10:51:28 AM (Review Assigned to Admin)
* Updated BIMS on 1/20/2022.
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 1/20/2022 10:37 AM
• The task was assigned to DEMLR SW Admin 1/17/2022 11:01 AM

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Default Page
NPDES Permit
Number*
Submittor's Name*
Phone Number*
Email Address*
Enter your NPDES stormwater permit number or Certificate of Coverage (COC) number.
NCG060284
NCSXXXXXX or NCGXXXXXX
Please enter your FIRST and LAST name
Will Terry
Please enter your phone number
2529169846
Any format is fine.
Please enter a valid e-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 [e-mail].
Completed Form Please upload the signed "Permit Owner Affiliation Designation Form"
Upload* NCDEQ Permit Owner Affiliation Designation Form -
186.68KB
1.2022.pdf
pdf only

Initial Review
Project ID * Reviewer may revise permit number below if incorrect.
NCG060284