NCC222889_Contact Update Record_20230801

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 8/1/2023 4:14:38 PM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC222889
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-2889
Original NOI No.* 101734
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Pine Gate Renewables, LLC
Project Name Fresh Air Energy XXXVII, LLC
Address 3178 NC 48 Hwy&3191 NC 48 Hwy, Pleasant Hill, NC
County Northampton
Latitude 36.5336
Longitude -77.5493
Date COC Issued* 08/12/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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? 0• No
0 Yes
Billing Email [e-mail]
Billing Telephone No. [phone]
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Charles McDonald
(Previous)
Site Contact Title Construction Project Manager
(Previous)
Organization Blue Ridge Power, LLC
(Previous)
First Name(New)* Jacob

Last Name(New)* Weiser
NEW Site Contact* Reflects any revisions above
Jacob Weiser
NEW Site Contact
Title
NEW Organization Blue Ridge Power, LLC
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 [phone]
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 105 Fairview Rd,St 30,0,Asheville, NC
Address(Previous) 28803
NEW Site Contact Street Address
Mailing Address* 105 Fairview Rd
Address Line 2
Suite 30
City State/Province/Region
Asheville NC
Postal/Zip Code Country
28803 USA
Change Requested Jen Sluhoski and Frank Metz III on 8/1/2023.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 08/01/2023