NCC205669_Contact Update Record (Legally Resp Change)_20220517

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 5/17/2022 1:07:30 PM (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Prior Rescission Date This field will populate only if COC has already been rescinded.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
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Brandon Culberson
Individual (Previous)
First Name (New)* Aaron
Last Name (New) * Weldon

NEW Legally Reflects any revisions above
Responsible Aaron Weldon
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) 28210-4269
NEW Permittee Street Address
Mailing Address* 4720 Piedmont Row Drive
Address Line 2
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28210
us
Permittee Street 4720 Piedmont Row Drive, 0, Charlotte, NC
Address (Previous) 28210-4269
NEW Permittee Street Street Address
Address* 4720 Piedmont Row Drive
Address Line 2
City State / Province / Region
Charlotte NC
Postal / Zip Code Country
28210 us
Change Requested Aaron Weldon via Modification request submitted 5/13/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 05/17/2022