NCC203516_Contact Update Record_20241008

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 10/8/2024 5:06:46 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC203516
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2020-3516
Original NOI No.* 29866
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Duke Energy
Project Name Roxboro Borrow Stockpile Relocation
Address 1700 Dunnaway Road,Semora, NC
County Person
Latitude 36.4826
Longitude -79.0581
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Prior Rescission Date This field will populate only if COC has already been rescinded.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? 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 John Riina
(Previous)
Site Contact Title Project Manager
(Previous)
Organization Duke Energy Progress
(Previous)
First Name(New)* Patrick

Last Name(New)* Cottrill
NEW Site Contact* Reflects any revisions above
Patrick Cottrill
NEW Site Contact Sr Project Manager
Title
NEW Organization Duke Energy Progress
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 919-546-2559
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 1700 Dunnaway Road,0,Semora, NC 27343
Address(Previous)
NEW Site Contact Street Address
Mailing Address* 10 S.Wilmington St.
Address Line 2
NC03
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27601 us
Change Requested Issa J.Zarzar via Modification request submitted 10/7/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 10/08/2024