NCC230616_Contact Update Record_20240801

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 8/1/2024 11:41:35 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC230616
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-0616
Original NOI No.* 130633
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Pine Gate Renewables
Project Name Two Hearted Solar
Address Shady Grove Church Road,Smithtown, NC
County Yadkin
Latitude 36.2363
Longitude -80.5574
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Prior Rescission Date This field will populate only if COC has already been rescinded.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 [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 7722145773
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Ben Catt
Individual(Previous)
First Name(New)* Rick
Last Name(New)* Backus

NEW Legally Reflects any revisions above
Responsible Rick Backus
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 130 Roberts Street, 0,Asheville, NC 28801-
Address(Previous) 3129
NEW Permittee Street Address
Mailing Address* 105 Fairview Road
Address Line 2
Suite 30
City State/Province/Region
Asheville NC
Postal/Zip Code Country
28803 us
Permittee Street 130 Roberts Street, 0,Asheville, NC 28801-
Address(Previous) 3129
NEW Permittee Street Street Address
Address* 105 Fairview Road
Address Line 2
Suite 30
City State/Province/Region
Asheville NC
Postal/Zip Code Country
28803 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Tripp McSwain
(Previous)
Site Contact Title
(Previous)
Organization
(Previous)
First Name(New)* Adam
Last Name(New)* Pinkston

NEW Site Contact* Reflects any revisions above
Adam Pinkston
NEW Site Contact Project Manager
Title
NEW Organization Blue Ridge Power
This field is not required on the NOI form and may not pre-populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact 7044577004
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 130 Roberts Street, 0,Asheville, NC 28801-
Address(Previous) 3129
NEW Site Contact Street Address
Mailing Address* 105 Fairview Road
Address Line 2
Suite 30
City State/Province/Region
Asheville NC
Postal/Zip Code Country
28803 us
Change Requested Sean Anderson(VP, Project Development)via email on 7/30/2024. (Note Pine Gate
by:* Renewables is the upstream owner of Blue Ridge Power.)
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 08/01/2024