NCC202234_Contact Update Record_20230523 (2)

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 5/23/2023 1:24:13 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC202234
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCGOl-2020-2234
Original NOI No.* 26216
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Albemarle Beach Solar, LLC
Project Name Albemarle Beach Solar Farm-Phase E
Address Saint's Delight Road, Roper, NC
County Washington
Latitude 35.9085
Longitude -76.6451
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Prior Rescission Date This field will populate only if COC has already been rescinded.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? Q No
Yes
Billing Email [e-mail]
Billing Telephone No. 704-677-3506
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Bradley Fite
(Previous)
Site Contact Title President of Field Operations
(Previous)
Organization SunEnergyl
(Previous)
First Name(New)* Bradley

Last Name(New)* Fite
NEW Site Contact* Reflects any revisions above
Bradley Fite
NEW Site Contact President of Field Operations
Title
NEW Organization SunEnergy1
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 704-677-3506
Telephone No.
(Previous)
NEW Site Contact 704-677-3506
Telephone No.*
Site Contact Mailing 6750 NC-30, 0, Bethel, NC 27812
Address(Previous)
NEW Site Contact Street Address
Mailing Address* 6750 NC-30
Address Line 2
City State/Province/Region
Bethel NC
Postal/Zip Code Country
27812 us
Change Requested Derek Ivie(Director of Environmental Compliance,SunEnergy1)via email on
by:* 5/18/2023.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 05/23/2023