NCC190814_Contact Update Record_20210805

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Georgoulias, Bethany A 8/5/2021 7:28:42 AM (Contact Changes Submitted)

Certificate of NCC190814
Coverage (COC) Enter the Certificate of Coverage N.mber (Use capital letters)
No.*
NC Reference No. NCG01-2019-0814
Original NOI No.* 12998
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new OOC required)
US Army Corps of Engineers
Project Name FY10 Eagle Island Disposal Area Improvements
Address Battleship Road Northeast, Leland, NC
County Brunswick
Latitude 34.1950
Longitude-77.9639
Date COC Issued* 07/02/2019
Prior Rescission This field will populate only if OOChas already been rescinded.
Date
Which Contacts F Billing Only
Have Changed?* f Legally Responsible Individual Only
f Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Has Billing Contact Choose'Yes'torevise Billing Contact details.
Changed? r No
r Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone
No.
NEW Billing [phone]
Telephone No. (Optional)
Change Requested Sophia Crumpton-Carr (U.S. Army Corps of Engineers - Wilmington District) via e-
by:
* mail on 8/4/2021
Include any additional correspondence records in the Fbpository OOCfolder.
Additional Information for this update to contact information:

Addional
Explanation
(Optional)
Date * 08/05/2021