NCC203832_Contact Update Record_20220107

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 1/7/2022 4:15:25 PM (Contact Changes Submitted)

Certificate of NCC203832
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2020-3832
Original NOI No.* 30677
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Cape Hattaras Electric Cooperative
Project Name Rodanthe Transmission Off -Bridge
Address NC Hwy 12, Rodanthe/Kinnakeet, NC
County Dare
Latitude 35.5989
Longitude-75.4699
Date COC Issued * 09/02/2020
Prior Rescission Date This field will populate only if COC has already been rescinded.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? U No
Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Mark Rhyne
Individual (Previous)
First Name (New)* Zack
Last Name (New)* Watkins

NEW Legally
Reflects any revisions above
Responsible
Zack Watkins
Individual*
Permittee Email
[e-mail]
(Previous)
NEW Permittee
[e-mail]
Email*
Permittee Telephone
252-995-5616
No. (Previous)
NEW Permittee
[phone]
Telephone No.*
Permittee Mailing
47109 Light Plant Road, 0, Buxton, NC 27953
Address (Previous)
NEW Permittee
Street Address
Mailing Address*
47109 Light Plant Road
Address Line 2
City State / Province / Region
Buxton NC
Postal / Zip Code Country
27920 us
Permittee Street
47109 Light Plant Road, 0, Buxton, NC 27953
Address (Previous)
NEW Permittee Street
Street Address
Address*
47109 Light Plant Road
Address Line 2
City State / Province / Region
Buxton NC
Postal / Zip Code Country
27920 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact
Mark Rhyne
(Previous)
Site Contact Title
Manager of Engineering
(Previous)
Organization
Cape Hatteras Electric Cooperative
(Previous)
First Name (New)*
Zack
Last Name (New) *
Watkins
NEW Site Contact*
Reflects any revisions above
Zack Watkins

NEW Site Contact Manager of Engineering
Title
NEW Organization Cape Hatteras Electric Cooperative
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 252-995-5616
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 47109 Light Plant Road, 0, Buxton, NC 27953
Address (Previous)
NEW Site Contact Street Address
Mailing Address* 47109 Light Plant Road
Address Line 2
City
State / Province / Region
Buxton
NC
Postal / Zip Code
Country
27920
us
Change Requested Zack Watkins via Modification request submitted 1/3/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 01 /07/2022