NCC190409_MODIFICATION Supporting Doc (LEG RESP CHANGE)_20210629 (2)

"'ble. 1;nd'1v:01'd-ua1 CAliange. Form
.N:CG'-Ol Lega,, fly Responst
'Use this form when,:,
T-he -pe'r-sonvvilo ts legally respons'tble for the permit has chan-ged, but there rs --m- the P ea nanie
IF01
or ovvnershtp.,
If the Pr " ect name has cha nged
or `f -th-e
I
I
own-ersh'p- of the �`�oje.d. has changed,
douseLbi's form,**
Instead, must
subm'd zi-
new NC-G01 electronic Not�ce o. f Intent
(e.N01),
Dim-'rection s-- ,..
Pdfnt this form, complete, scan and uplo-ad to the. Construct'i'oni- Stormwater Permit MOM-'FICATION Form.
-ormwater ProgrThen, mail the orltinal;fer to the NC OEWit.,. R St 1
IN'vJs' ;on of Energy, Minvral & Laa*3),,ei Resokirce..s,,,%,.torTnw.,ite-r Program
512 N. Sa s•b u r Street, 61 Floor (Office, -6,40K)
1612 Maiii Service Center
RaleigN,'NC 27699-16,12
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I.IMMM UN niwUM: IF'. AIOK66 BWED ANO., LE"HStOR0DCTNi1EENREWEDEt POMCPT
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INAUST U.. COM- - M-AL.'
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Certificate of
:(COC) Number" NC" " -00409
Name of Pr -ect* Du ke. Fear
Cleveland Matthews [,,avdown Yard
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e
Responsible 9%nLiz�tional Entity: Duke.Er ergy Progrejs LLC.
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PREVIOUS Legally Respansit�le IndNivdual L ;Z44- ------ ..... ......... ... 1--� ... ...
NEW Legally RespoPsible Ind*Midual: Randy Veltr'�'
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The following sect -ton -'Is to be completed. and signed by the NEW Legally Respons-lble, lnd-lviduaL
Per NC 6eneral Statute- 143-21.5.68 (i), any, person who �ra���r�n qfymakes�
or -certi X. anyfakse statement, representation,,
fticadort in any application, record, report plan, or other docume.
n t filed Or required to be'M atntained
-unde, r this Artitle' or a -ruie implementing this Article S-
h-G-11
MIS
or, wh
V
include a fine not to exceed ten thousand doilars ($1 ;tOW
page I of 2

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