NCC212092_Contact Update Record_20241009 (2)

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 10/9/2024 7:00:38 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC212092
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-2092
Original NOI No.* 49659
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Duke Energy Progress LLC
Project Name East Ash Basin Southeast Diversion Channel
Address 1700 Dunnaway Road,Semora, NC
County Person
Latitude 36.4733
Longitude -79.0578
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Prior Rescission Date This field will populate only if COC has already been rescinded.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? 0• No
0 Yes
Billing Email [e-mail]
Billing Telephone No. [phone]
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Patrick Cottrill
(Previous)
Site Contact Title Sr Project Director
(Previous)
Organization Duke Energy Progress LLC
(Previous)
First Name(New)* Patrick

Last Name(New)* Cottrill
NEW Site Contact* Reflects any revisions above
Patrick Cottrill
NEW Site Contact Sr Project Director
Title
NEW Organization Duke Energy Progress LLC
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 [phone]
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 410 S.Wilmington St., NC03, Raleigh, NC
Address(Previous) 27601
NEW Site Contact Street Address
Mailing Address* 410 S.Wilmington St.
Address Line 2
NC03
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27601 USA
Change Requested (Email correction only-missed on previous update)Issa J.Zarzar via Modification
by:* request submitted 10/7/2024.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 10/09/2024