NCG080958_Owner Affiliation Change Request_20220124

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/24/2022 11:29:37 AM (Owner Affiliation Change Submission)
Approve by Tran, Kieu M 3/14/2022 9:54:11 AM (Review Assigned to Admin)
* Owner Affiliation has been updated in BIMS 3/14/2022
• Georgoulias, Bethany A reassigned the task to Tran, Kieu M 3/11/2022 9:29 AM
• The task was assigned to DEMLR SW Admin 1/24/2022 11:29 AM

Default Page
N PDES Permit Enter your NPDES stormwater permit number or Certificate of Coverage (COC) number.
Number* NCG080958
Begins with NCS, NCG, or NCGNE (no exposure)
Submittor's Name* Please enter your FIRST and LAST name
Jennifer Welch
Phone Number* Please enter your phone number
8323495863
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* 2022NPDES-Owner-Affiliation-Change-20191104-
476.32KB
DEMLR-SW - Canton.pdf
pdf only

Initial Review
Project ID * Reviewer may revise permit number below if incorrect.
NCG080958