NCC215872_Contact Update Record_20230523

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 5/23/2023 1:38:25 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC215872
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCGOl-2021-5872
Original NOI No.* 69195
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Oak Solar, LLC
Project Name Oak Solar-Phase B
Address NC Hwy 46,Gaston, NC
County Northampton
Latitude 36.5240
Longitude -77.7738
Date COC Issued* 11/09/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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
0 Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 7046620375
NEW Billing 704-677-3506
Telephone No. (optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Nicholas Tillson
(Previous)
Site Contact Title Environmental Program Manager
(Previous)

Organization SunEnergy1
(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 7046620375
Telephone No.
(Previous)
NEW Site Contact 704-677-3506
Telephone No.*
Site Contact Mailing 192 Raceway Drive,0, Mooresville, NC
Address(Previous) 28117-6509
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