NCG050168_Owner Affiliation Change Request_20211022

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/22/2021 12:46:54 PM (Owner Affiliation Change Submission)
Approve by Georgoulias, Bethany A 2/23/2022 8:49:53 AM (Review Assigned to Admin)
* Owner Affiliation updated in BIMS on 2/23/2022.
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 2/20/2022 2:22 PM
• The task was assigned to DEMLR SW Admin 10/22/2021 12:47 PM

Default Page
N PDES Permit
Enter your NPDES stormwater permit number or Certificate of Coverage (COC) number.
Number*
NCG050168
Begins with NCS, NCG, or NCGNE (no exposure)
Submittor's Name*
Please enter your FIRST and LAST name
Wendelyn C Garner
Phone Number*
Please enter your phone number
9107387227
Any format is fine.
Email Address*
Please enter a valid e-mail address
[e-mail]
A confirmation of submission will be e-mailed to this address.
Upload a copy of the completed and signed Permit Owner Affiliation Designation Form below. Please note that you must
mail in the original signed copy to our office (see instructions on that form), in accordance with requirements in
40 CFR 122.22.
Questions? Contact [e-mail].
Completed Form Please upload the signed "Permit Owner Affiliation Designation Form"
Upload* Storm Water Permitting Update_10.22.2021.pdf 446.91KB
pdf only

Initial Review
Project ID * Reviewer may revise permit number below if incorrect.
NCG050168