NCC210459_Contact Update Record_20240513

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 5/13/2024 7:51:36 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC210459
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-0459
Original NOI No.* 41722
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Duke Energy Carolinas LLC
Project Name Belews Creek Ash Basin Landfill E&SC
Address Pine Hall Road, Belews Creek, NC
County Stokes
Latitude 36.2936
Longitude -80.0669
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Prior Rescission Date This field will populate only if COC has already been rescinded.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 [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 980-373-6616
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Mehdi Maibodi
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 526 South Church Street,0,Charlotte, NC
Address(Previous) 28202-1802
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 526 South Church Street,0,Charlotte, NC
Address(Previous) 28202-1802
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
Change Requested Issa J.Zarzar(GM CCP Project Management)via Modification Request submitted
by:* 5/8/2024.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 05/13/2024