NCC230766_Contact Update Record_20240801

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 8/1/2024 11:51:32 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC230766
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-0766
Original NOI No.* 131601
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Pine Gate Renewables
Project Name Pelham Solar, LLC
Address 429 Gwynns Chapel Rd, Pelham, NC
County Caswell
Latitude 36.4594
Longitude -79.4771
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Prior Rescission Date This field will populate only if COC has already been rescinded.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? No
Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 8288202917
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Grayson Newell
Individual(Previous)
First Name(New)* Rick
Last Name(New)* Backus

NEW Legally Reflects any revisions above
Responsible Rick Backus
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 105 Fairview Road, Suite 30,Asheville, NC
Address(Previous) 28803-2307
NEW Permittee Street Address
Mailing Address* 105 Fairview Road
Address Line 2
Suite 30
City State/Province/Region
Asheville NC
Postal/Zip Code Country
28803-2307 us
Permittee Street 105 Fairview Road, Suite 30,Asheville, NC
Address(Previous) 28803-2307
NEW Permittee Street Street Address
Address* 105 Fairview Road
Address Line 2
Suite 30
City State/Province/Region
Asheville NC
Postal/Zip Code Country
28803-2307 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Joseph Adeniji
(Previous)
Site Contact Title Project Manager
(Previous)
Organization Blue Ridge Power
(Previous)
First Name(New)* Adam
Last Name(New)* Pinkston

NEW Site Contact* Reflects any revisions above
Adam Pinkston
NEW Site Contact Project Manager
Title
NEW Organization Blue Ridge Power
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 8324310685
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 1682 Middle River Loop,0, Fayetteville, NC
Address(Previous) 28312
NEW Site Contact Street Address
Mailing Address* 105 Fairview Road
Address Line 2
Suite 30
City State/Province/Region
Asheville NC
Postal/Zip Code Country
28803 United States
Change Requested Sean Anderson(VP, Project Development)via email on 7/30/2024. (Note Pine Gate
by:* Renewables is the upstream owner of Blue Ridge Power.)
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 08/01/2024