NCC232918_Contact Update Record_20240424

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 4/24/2024 4:24:58 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC232918
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-2918
Original NOI No.* 161067
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Duke Energy Carolinas LLC
Project Name Allen North Starter Landfill Construction,Operation and Closure
Address 253 Plant Allen Road, Belmont, NC
County Gaston
Latitude 35.1898
Longitude -81.0088
Date COC Issued* 04/01/2024
Prior Rescission Date This field will populate only if COC has already been rescinded.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? Q No
4) Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 9803736616
NEW Billing [phone]
Telephone No. (optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Medhi Maibodi
Individual(Previous)
First Name(New)* Medhi
Last Name(New)* Maibodi

NEW Legally Reflects any revisions above
Responsible Medhi Maibodi
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 526 South Church Street ECI-05A,0,
Address(Previous) Charlotte, NC 27023
NEW Permittee Street Address
Mailing Address* 525 S Tryon Street
Address Line 2
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
27202 US
Permittee Street 526 South Church Street ECI-05A,0,
Address(Previous) Lewisville, NC 27023
NEW Permittee Street Street Address
Address* 525 S Tryon Street
Address Line 2
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
27202 United States
Change Requested Eric Szkolnyj(General Manager-CCP)via Modification request submitted
by:* 4/18/2024.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 04/24/2024