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HomeMy WebLinkAboutNCC191108_Contact Update Record_20201206Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Georgoulias, Bethany 12/6/2020 1:22:54 PM (Contact Changes Submitted) Certificate of NCC191108 Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters) No.* NC Reference No. NCG01-2019-1108 Original NOI No.* 13998 Project information associated with this permit (cannot change): Permittee Listed Organizaiton cannot be changed (new OOC required) MICAS Cherry Point Project Name Repair and Improve Bogue Field Wastewater System Address Sassafras Road, Bogue, NC County Carteret Latitude 34.6905 Longitude -77.0347 Date COC Issued* 07/29/2019 Prior Rescission This field will populate only if OOChas already been rescinded. Date Which Contacts F Legally Responsible Individual Only Have Changed?* f Site Contact Only f BOTH Legally Responsible Individual and Site Contact Legally Responsible Individual Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Legally Responsible Charles Schulz Individual (Previous) First Name (New)* Anthony Last Name (New) * Ference NEW Legally Reflects any revisions above Responsible Anthony Ference Individual* Permittee Email charles.e.schulz@usmc.mil (Previous) NEW Permittee anthony.ference@usmc.mil Email * Permittee 2524663148 Telephone No. (Previous) NEW Permittee 252-466-3807 Telephone No.* Permittee Mailing P.O. Box8006, 0, Cherry Point, NC 28533- Address (Previous) 0006 NEW Permittee Mailing Address* Street Address P.O. Box 8006 Address Line 2 City Cherry Point Fbstal / Zip Code 28533-0006 Permittee Street Building 1 C Street, 0, Cherry Point, NC Address (Previous) 28533-0006 NEW Permittee Street Address Street Address* Building 1 C Street Address Line 2 City Cherry Point Fbstal / Zip Code 28533-0006 State / Rovince / Fbgion NC Country United States State / Rovince / Region NC Country United States Change Requested Anthony Ference via Modification request submitted 12/3/2020 by: * Include any additional correspondence records in the Repository 00Cfolder. Additional Information for this update to contact information: Addional Explanation (Optional) Date * 12/06/2020