NCC205500_Contact Update Record_20240507

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 5/7/2024 9:04:26 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC205500
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2020-5500
Original NOI No.* 37335
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Duke Energy Carolinas, LLC
Project Name Marshall MAR-152 Stormwater Basin and Diversion Channel
Address 8320 NC Hwy 150,Sherrills Ford, NC
County Catawba
Latitude 35.6140
Longitude -80.9830
Date COC Issued* 04/01/2024
Prior Rescission Date This field will populate only if COC has already been rescinded.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
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 David Dellario
Individual(Previous)
First Name(New)* Issa J.
Last Name(New)* Zarzar

NEW Legally Reflects any revisions above
Responsible Issa J.Zarzar
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,0, Charlotte, NC
Address(Previous) 28202
NEW Permittee Street Address
Mailing Address* 410 S.Wilmington Street
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27601 us
Permittee Street 400 South Tryon Street,0, Charlotte, NC
Address(Previous) 28202
NEW Permittee Street Street Address
Address* 410 S.Wilmington Street
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27601 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Robert Wylie
(Previous)
Site Contact Title Lead Environmental Specialist
(Previous)
Organization Duke Energy Carolinas, LLC
(Previous)
First Name(New)* Joseph Scott
Last Name(New)* La Sala
NEW Site Contact* Reflects any revisions above
Joseph Scott La Sala

NEW Site Contact
Title
NEW Organization Duke Energy Carolinas, 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 704 562-8258
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 526 South Church Street,0,Charlotte, NC
Address(Previous) 28202-1802
NEW Site Contact Street Address
Mailing Address* 8320 E NC HWY 150
Address Line 2
City State/Province/Region
Terrell NC
Postal/Zip Code Country
28682 us
Change Requested Issa J.Zarzar via Modification request submitted 5/3/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 05/07/2024