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HomeMy WebLinkAboutNCG080639_Owner Affiliation Change Request_20210218Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 2/18/2021 3:39:49 PM (Owner Affiliation Change Submission) Approve by McCoy, Suzanne 2/19/2021 8:36:20 AM (Notification to Admin) • The task was assigned to McCoy, Suzanne 2/18/2021 3:40 PM 1 S �i. mnvV�� NORTH CARCLINA Emlm"m MI Quat<ty Default Page NPDES Permit Enter your MPDES storrrwater pernit nunber or Certificate of Coverage (COC) nunber. Number* NCGO80639 NCS)00000(or NCG00000( Submittor's Name* Reaseenter your FIRST and LAST narre Tiffanee Grumbly Phone Number* Reaseenter your phone nurrber 9048612819 Any format is fine. Email Address * Rease enter a valid a-rrail address tiffanee.grumbly@arcadis.com 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 (919) 707-3641 or e-mail her at.bethany.georgouliasencdenr.gov. Completed Form Rease upload the signed "Fbrrrit Owner Affiliation Designation Forn1' Upload* CWA NC_Rocky Mount_NCG080639_sig update 325.6KB 021821.pdf pdf only Initial Review Project ID * Reviewer may revise perrrit nunber below if incorrect. NCGO80639