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HomeMy WebLinkAboutNCC222195_Contact Update Record_20240517 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by bethany.georgoulias 5/17/2024 9:06:48 AM (Contact Changes Submitted) Contact • - for • • • ONLY) updatesThis form • . . Certificate of NCC222195 Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters) NC Reference No. NCG01-2022-2195 Original NOI No.* 94037 Project information associated with this permit(cannot change): Permittee Listed Organizaiton cannot be changed(new COC required) Duke Energy Progress LLC Project Name Roxboro Borrow Area 2 Excavation Plan Address 1700 Dunnaway Road,Semora, NC County Person Latitude 36.4940 Longitude -79.0522 Date COC Issued* 04/01/2024 Prior Rescission Date This field will populate only if COC has already been rescinded.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 0 Yes Billing Email duncan.brewer@duke-energy.com NEW Billing Email issa.zarzar@duke-energy.com Billing Telephone No. 13363302058 NEW Billing (919)812-0446 Telephone No. (Optional) Legally Responsible Individual Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Legally Responsible Duncan Brewer Individual(Previous) First Name(New)* Issa J. Last Name(New)* Zarzar NEW Legally Reflects any revisions above Responsible Issa J.Zarzar Individual* Permittee Email duncan.brewer@duke-energy.com (Previous) NEW Permittee issa.zarzar@duke-energy.com Email* Permittee Telephone 13363302058 No.(Previous) NEW Permittee (919)812-0446 Telephone No.* Permittee Mailing 1700 Dunnaway Road,0,Semora, NC 27343 Address(Previous) NEW Permittee Street Address Mailing Address* 410 S.Wilmington Street Address Line 2 City State/Province/Region Raleigh NC Postal/Zip Code Country 27601 us Permittee Street 1700 Dunnaway Road,0,Semora, NC 27343 Address(Previous) NEW Permittee Street Street Address Address* 410 S.Wilmington Street Address Line 2 City State/Province/Region Raleigh NC Postal/Zip Code Country 27601 us Change Requested Issa J.Zarzar via Modification request submitted 5/9/2024. by:* Include any additional correspondence records in the Repository COC folder. Additional Information for this update to contact information: Addional Explanation (Optional) Date* 05/17/2024