NCC200370_Contact Update Record (Legally Resp Change)_20230201

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by bethany.georgoulias 2/l/2023 5:40:50 PM (Contact Changes Submitted)

Certificate of NCC200370
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2020-0370
Original NOI No.* 21208
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
E. I. du Pont de Nemours and Company
Project Name SWMU-11 Closure -Dupont Brevard Facility
Address 701 Dupont Drive, Cedar Mountain, NC
County Transylvania
Latitude 35.1835
Longitude-82.6127
Date COC Issued * 01 /30/2020
Prior Rescission Date This field will populate only if COC has already been rescinded.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 Jamie Vanbuskirk
Individual (Previous)
First Name (New)* Douglas
Last Name (New) * Fletcher

NEW Legally Reflects any revisions above
Responsible Douglas Fletcher
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 2764 Pleasant Road, 0, Fort Mill, SC 29708
Address (Previous)
NEW Permittee Street Address
Mailing Address* P.O. Box 77614
Address Line 2
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28271
us
Permittee Street 2764 Pleasant Road, 0, Fort Mill, SC 29708
Address (Previous)
NEW Permittee Street Street Address
Address* P.O. Box 77614
Address Line 2
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28271
us
Change Requested Douglas P. Fletcher (Brownfields Manager / Project Director) via Modification
by: * request submitted 1/26/2023.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation E.I. DuPont de Nemours and Company is a wholly owned subsidiary of Corteva
(Optional) Agriscience.
Date * 02/01 /2023