NCS000391_Owner Affiliation Change Request_20200810

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/10/2020 7:53:30 AM (Owner Affiliation Change Submission)
Approve by McCoy, Suzanne 8/13/2020 1:40:11 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 8/10/2020 7:53 AM

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Default Page
NPDES Permit
Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber.
Number*
NCS000391
NCS)00000(or NCC)00000(
Submittor's Name*
Reaseenter your FIRST and LAST narre
Carlton Williams
Phone Number*
Reaseenter your phone number
864-978-3170
Any format is fine.
Email Address *
Rease enter a valid a -mail address
carlton—[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 "FbrmitCWnerAffiliation Designation Forn1'
Upload* 2020 Permit Designation Form Notification.pdf 454.15KB
pdf only

Initial Review
Project ID * Reviewer may revise permt nunber below if incorrect.
NCS000391