NCC190283_Contact Update Record_20201204

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany 12/4/2020 11:34:53 AM (Contact Changes Submitted)

Certificate of NCC190283
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2019-0283
Original NOI No.* 11002
Project information associated with this permit (cannot change):
Permittee Listed
Organizaiton cannot be changed (new OOC required)
The University of North Carolina at Chapel Hill
Project Name
UNC Kenan Stadium and Off -Site Stormwater Site
Address
Stadium Drive, Chapel Hill, NC
County
Orange
Latitude
35.9070
Longitude
-79.0479
Date COC Issued*
05/15/2019
Prior Rescission
This field will populate only if COChas already been rescinded.
Date
Which Contacts
F Legally Responsible Individual Only
Have Changed?*
f Site Contact Only
f BOTH Legally Responsible Individual and Site Contact
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Jonathan Pruitt
Individual
(Previous)
First Name (New)*
George
Last Name (New) *
Battle, III
NEW Legally
Pleflects any revisions above
Responsible
George Battle, III
Individual*
Permittee Email
[e-mail]
(Previous)
NEW Permittee
[e-mail]
Email *

Permittee 919-962-3795
Telephone No.
(Previous)
NEW Permittee 919-962-3795
Telephone No.*
Permittee Mailing Campus Box 1000, 0, Chapel Hill, NC 27514
Address (Previous)
NEW Permittee
Mailing Address*
Street Address
Campus Box 1000
Address Line 2
City
Chapel Hill
Fbstal / Zip Code
27514
Permittee Street 300 South Building - 200 E. Cameron Ave.,
Address (Previous) 0, Chapel Hill, NC 27514
State / Rovince / Fbgion
NC
Country
USA
NEW Permittee Street Address
Street Address* 300 South Building - 200 E. Cameron Ave.
Address Line 2
aty State / Rovince / Region
Chapel Hill NC
Fbstal / Zip Code Country
27514 USA
Change Requested Janet Clarke (primary site contact) via e-mail in March 2020.
by: * Include any additional correspondence records in the Repository CDC folder.
Additional Information for this update to contact information:
Addional Originally notified Program about this change in March 2020, before Modification
Explanation form was set up with option to provide paperwork for legally responsible person
(Optional) change. Confirmed contact details 12/4/2020 for this and other COCs.
Date * 12/04/2020