NCC224004_Contact Update Record_20231201

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 12/1/2023 12:06:36 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC224004
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-4004
Original NOI No.* 115891
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Santek Environmental of North Carolina, LLC
Project Name Phase 5B Development-Haywood County(White Oak)Landfill
Address 3898 Fines Creek Rd.,Waynesville, NC
County Haywood
Latitude 35.6650
Longitude -83.0040
Date COC Issued* 12/05/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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? No
Yes
Billing Email [e-mail]
Billing Telephone No. 828-251-4885
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Derek Bouchard
(Previous)
Site Contact Title
(Previous)
Organization Republic Services, Inc.
(Previous)
First Name(New)* Stoddard

Last Name(New)* Pickrell
NEW Site Contact* Reflects any revisions above
Stoddard Pickrell
NEW Site Contact Environmental Manager
Title
NEW Organization Republic Services, Inc.
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 13143023634
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 1070 Riverside Dr,0,Asheville, US 28804
Address(Previous)
NEW Site Contact Street Address
Mailing Address* 1070 Riverside Dr
Address Line 2
City State/Province/Region
Asheville US
Postal/Zip Code Country
28804 United States
Change Requested Stoddard Pickrell, Environmental Manager,via email on 12/1/23.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 12/01/2023