NCC202649_Contact Update Record_20210610

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 6/10/2021 3:08:59 PM (Contact Changes Submitted)

Certificate of NCC202649
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2020-2649
Original NOI No.* 27344
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new OOC required)
Duke Energy Carolinas, LLC
Project Name
Cliffside-Ash Storage Area 1 and Haul Route Imp.
Address
McCraw Road, Mooresboro, NC
County
Cleveland
Latitude
35.2057
Longitude
-81.7697
Date COC Issued*
06/23/2020
Prior Rescission
This field will populate only if COChas already been rescinded.
Date
Which Contacts
f Billing Only
Have Changed?*
F Legally Responsible Individual Only
f Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Has Billing Contact
Choose'Yes'torevise Billing Contact details.
Changed?
r No
r Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone
No.
NEW Billing [phone]
Telephone No. (Cptional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Scott Martin
Individual
(Previous)

First Name (New)* David
Last Name (New) * Dellario
NEW Legally Reflects any revisions above
Responsible David Dellario
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee 704 913-1623
Telephone No.
(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 400 South Tryon Street, ST 06K, Charlotte,
Address (Previous) NC 28202
NEW Permittee
Mailing Address*
Street Address
400 South Tryon Street
Address Line 2
Suite 30 C
aty
Charlotte
Fbstal / Zip Code
28202
Permittee Street 400 South Tryon Street, ST 06K, Charlotte,
Address (Previous) NC 28202
NEW Permittee
Street Address*
Street Address
400 South Tryon Street
Address Line 2
Suite 30 C
city
Charlotte
Fbstal / Zip Code
28202
State / Rovince / R gion
NC
Country
us
State / Rovince / Region
NC
Country
us
Change Requested David Dellario via Modification request submitted 6/9/2021.
by: * Include any additional correspondence records in the Repository COCfolder.
Additional Information for this update to contact information:
Addional
Explanation
(Optional)
Date * 06/10/2021