NCC205669_Contact Update Record (Legally Resp Change)_20230217

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by bethany.georgoulias 2/17/2023 11:39:44 AM (Contact Changes Submitted)

Certificate of NCC205669
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2020-5669
Original NOI No.* 38103
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Piedmont Natural Gas Company Inc.
Project Name PNG Line 110 MLV-6 Laydown Yard - EXPRESS
Address 342 Murrill Brown Rd., Richland, NC
County Onslow
Latitude 34.8014
Longitude-77.5778
Date COC Issued * 12/10/2020
Prior Rescission Date This field will populate only if COC has already been rescinded.
Which Contacts Have Billing Only
Changed?* • Legally Responsible Individual Only
Site Contact Only
BOTH Legally Responsible Individual and Site Contact
Has Billing Contact Choose'Yes'to revise Billing Contact details.
Changed? U No
Yes
Billing Email
[e-mail]
NEW Billing Email
[e-mail]
Billing Telephone No.
[phone]
NEW Billing
[phone]
Telephone No.
(Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Aaron Weldon
Individual (Previous)
First Name (New)* Daniel
Last Name (New) * Deese

NEW Legally Reflects any revisions above
Responsible Daniel Deese
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 4720 Piedmont Row Drive, 0, Charlotte, NC
Address (Previous) 28210
NEW Permittee Street Address
Mailing Address* 4720 Piedmont Row Drive
Address Line 2
PNG06A
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28210
us
Permittee Street 4720 Piedmont Row Drive, 0, Charlotte, NC
Address (Previous) 28210
NEW Permittee Street Street Address
Address* 4720 Piedmont Row Drive
Address Line 2
PNG06A
City State / Province / Region
Charlotte NC
Postal / Zip Code Country
28210 us
Change Requested Daniel Deese (Project Manager) via Modification request submitted 2/7/2023.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 02/17/2023