NCG050426_Owner Affiliation Change Request_8/16/2019

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NORTH CAROLINA
EnNranme t 0-ray
Default Page
NPDES Permit
Enter your WDES storrrwater pernit number or Certificate of Coverage (COC) number.
Number*
NCG050426
NCS)00000(or NCCX000=
Submittor's Name*
Rease enter your FIRST and LAST narre
Jennifer Williams
Phone Number*
Rease enter your phone number
3364778357
Any format is fine.
Email Address *
Rease enter a valid a-rrail address
[e-mail]
A confirmation of subrrission w ill be e-nailed 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.georciouliasancdenr.gov.
Completed Form Rease upload the signed Tbrmt Owner Affiliation Dasignation Fora'
Upload * 2019.08.13 Thomasville CLR facility - Signed Permit
1.13MB
Afflication Change.pdf
pdf only

Initial Review
Project ID * Fbviewer may revise perrrit number below if incorrect.
NCG050426