NCC201668_Contact Update Record (Legally Resp)_20220131

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 1/31/2022 3:26:56 PM (Contact Changes Submitted)

Certificate of NCC201668
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCGOl-2020-1668
Original NOI No.* 24671
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Swinerton Builders
Project Name Broad River Substation
Address 2808 McCraw Road, Mooresboro, NC
County Cleveland
Latitude 35.2040
Longitude -81.7450
Date COC Issued * 06/05/2020
Prior Rescission Date This field will populate only if COC has already been rescinded.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? 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 David Grubb
Individual (Previous)
First Name (New)* David
Last Name (New)* Grubb

NEW Legally Reflects any revisions above
Responsible David Grubb
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 16798 West Bernardo Drive, 0, San Diego,
Address (Previous) CA 92127
NEW Permittee Street Address
Mailing Address* 16680 West Bernardo Drive
Address Line 2
City State / Province / Region
San Diego CA
Postal / Zip Code Country
92127 United States
Permittee Street 16798 West Bernardo Drive, 0, San Diego,
Address (Previous) CA 92127
NEW Permittee Street Street Address
Address* 16680 West Bernardo Drive
Address Line 2
City
State / Province / Region
San Diego
CA
Postal / Zip Code
Country
92127
United States
Change Requested David Grubb, Jr. via Modification request submitted 1/26/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information'.
Addional Explanation Same permittee but company has changed names to SOLV Energy. Email and
(Optional) address updates.
Date * 01/31/2022