NCC201448_Contact Update Record (Leg Resp Change)_20220816

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 8/16/2022 9:24:19 AM (Contact Changes Submitted)

Certificate of NCC201448
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2020-1448
Original NOI No.* 24157
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Duke Energy Carolinas, LLC
Project Name Phase IV Rogers CCP Landfill Construction
Address McCraw Road, Mooresboro, NC
County Cleveland
Latitude 35.2057
Longitude-81.7697
Date COC Issued * 04/14/2020
Prior Rescission Date This field will populate only if COC has already been rescinded.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 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 Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 400 South Tryon Street, Suite 2C, Charlotte,
Address (Previous) NC 28202
NEW Permittee Street Address
Mailing Address* 526 South Church Street
Address Line 2
ECI-05A
City
State / Province / Region
Mooresboro
NC
Postal / Zip Code
Country
28202
USA
Permittee Street 400 South Tryon Street, Suite 2C, Charlotte,
Address (Previous) NC 28202
NEW Permittee Street Street Address
Address* McCraw Road
Address Line 2
City
Mooresboro
Postal / Zip Code
28114
State / Province / Region
NC
Country
USA
Change Requested David Dellario via Modification request submitted 8/15/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 08/16/2022