NCC222195_Contact Update Record_20241009

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 10/9/2024 7:09:59 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Prior Rescission Date This field will populate only if COC has already been rescinded.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? 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 Duncan Brewer
(Previous)
Site Contact Title 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 13363302058
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 1700 Dunnaway Road,0,Semora, NC 27343
Address(Previous)
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 United States
Change Requested Issa J.Zarzar via Modification request submitted 10/7/2024.
by:* 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